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Lewin Jr.John Henry
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permkt Burewd YRal Rxmaa Name First Middle Ian Sex bM1nX LeMnlr. Me4 wNM CeaM Ige HVManofxS II IM Fw[e; Pared De ]1Yue WuorN!¢ 199Y]1 vlxem oeam wsPiu4 understood or p . M .Tmimorvill Dl.nfab SIIaeLuaress L+errt Fee¢Xwb1 nnerol OeaM1 ®Xmlral Laux 11.MNeem EIIwrn'miee DLWtle E1Cirtumnarce¢OnexeminM Elmantlima W ImeSi W MMialCenAler Name Tnk O Address mlmn¢ ores 1 W Pon Mountul Gore F5115,Hew Address 13301 ce amarm:m%lea omla xl,mYr 351 NumMr C .TaxnorVl Gans rude Sw1 331 Hwaset Dale Cemettry.CrtmaaryaFailit/Hame nFunera em Wildman %ne NAe Cnmtlory Address ©Grounds, pl¢enmury Twn.Nee York l]Donation z 0mammal sed Flee Penowd and/oraNlor Xele m Xdtl Aaaress Sp ❑Tramcen.um Dare wima a by Cons s^' Lame, D,Minatlm ❑DDinhmlem oi1P tlwlery Aaaress ❑PelnMlmem Deal Leme of Aaalen Permi1 leaders b Ryinmion Number Nameol funeral lbme M sum Parcel Nome�SMM1 tlen FeF n1019 Add 135 Mean St5Gans Fall¢, New VOM 12303 ord Nameol funeral FordMaking 0isposaim or do WM1m xemains mpsni .nanerNmnFo:.e Address C Pennlaalanisbaraby9mwatlte Elaprnesof Mshumenmmelnederabaaebewaslndiw . Dale Issued OW1 v]a]o hginmro vdaleal ROSNt Analev Curtis(EluUmar dal IY Signal hswml binds Number SPo1 Plu Gemm FaI4Nee VM aniryaminamm,m¢mlMeer.aemicemrammlewertrlwareeaia,rmmm..wimmis celmn on: Damd NearrinbnIN 4 1 m PIaaM Diaceaiem RJ(. Resew w � w+M.f m,mei Im.Il..ma gN ame d Smi or Peron in Crew rI OnN /I//5/l/ryse lme.r, w, W signal /�" t , TMe WHI555YNMPlof2 Public health Law Sen. 4145(26) 012705 Receipt i Human remains of ecllvcmeon . __. __, W02 Phbid CmeI¢y neneeamnnc(, (Meral han a on dulYpemdt OSitial Pu unl Ulreaun Reg on Llceoma