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Eastwood, Anthony D. NEW YIXM(STATE DEPARTMENT OF HEAL °ne1Fenrms.cum, Burial - Transit Permit Name Felt Mpole last Sex Anthony n. 6netmG Wle Dale M peat Age If Vegm d ll, .Anneal Forcer, 0e / 12 / 2020 e1 Wy or Dales INA 1- Place W Death Hospital, Lutta an or W Rty Town or Villa a Wilton Street Address SO afilevot Lane m MmnerMDaat®Waned cwue pArmmn ❑Hommiee psamwe pune.kmand PWWWW; Medical Cam Name Ckeumstaxes pinvyE Me °m:ee S. raavv °° AOdre 5]0 tlapL Ave, truth a rpeinge. art 12966 Deaf mM FilledeFilledlAenkt Number RafaelNumber Ci , TommwM a Vita x11tm ❑Danm Date mwyor amly oe / 1a / 2020 QEnlvn4lWn A0Ere55 Plne View Cewtoiy GCrematam gueenaLury, nY p Date vad Remove! anNor Heldance m Andreae OHdtl 0 Dale POInt p Trmspolmfim S " ent by Common Destieauon Camer p DrsiMelmem Deft Cemefay Accra p Remmanant Date Camekry AM,, Permitiuu m R" retlm NullMer Name 0 central Home cogerrimete Puneve] Care amq Address aa] Ill Are., eseetaPa ay., BY 12e66 Nameol Funerel tm Making Disposition arm Whom Females Coal S , If Oter than AWe Addlesa Pnmis ion Is hereby 9rambtl be Clapom OMB Fuman stated"tl W IntlYabG. Cale WRAM D'��/�� Relpsmu 0 Vnal Sumatra �/ District Number - place Wilton , x York I (A MY tel Me rentalna of to decedent idmiRqnj above wme E4p"c�sW of In acomWnce wit t4 Palmer All; Date of DaWaskon place W D4pnidm Pity o-y c +�''"-°I'.'1 1 0 Nameof Sarlonar Pecs NCh bPrem4ee `I�RPwa,.J EW Mnnmae0 i m W slgrellae f THIS (aver) DO14f Was (wfzybat Public Hee yew Sea 4145(2b) a eipt 012714 Hmm�ainN or 0� l� 0 1, eeiLvemd ee_ rM VIM g5riL "--�" It-pre seniinB—�f dM1on�e namNgo PonerID Duegors Reg.or License N