Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Washburn, Richard A.
NEW YORK STATE DEPARTMENT OF HEALTH BUOBI - Transit PC Bureau of Vital Records rmit Name First Middle Ian Sea G[MNA WemWm MW DWd aM pg IIVeuranolUSAitnee fortes 11811a2ozu wysom Waror Nes f From of both XosPdal lnnXueanar Z CIIy,TownorV JMnMu Tam StreelAderess 2514 5W Rt 28 Name J over dry Tom.New YM f ANNI WHarmer M 0.wn ® Natural Cave AZMent C)Hormide ❑Suilde �Undelermined C]Pendirg Grtummites Imestl ee W Mediral CerlAier Nana Ter O MnniM4ncnn UO M rt P Carey Rose,pieerepry ioxn.Nw Yam;12800 maln4Rd'xa Frd eem Humkr Ikyser Number C' en.io or Vi Num Crrk S84 Lj Burial DMe 1120 Cem@ry.Conemry or Trendy Name ❑Emomnmem Address fioevry ermnm.y mere ©Cmnalm peenWuryTom.Nw VaM1 116anaNm O ❑Rammed Date Plae Removed F and/or andMxeW —y Hew Addre» ❑Trenepawllm Dan PoImW byt moan Shl me farrier Cestinadon � D'uimemem One Cemetery Addreaa � Romancer e r Dale Cemetery Address Pasant lssomm Ragirsymn Resew Nameof Funeralnerm A w,c%rBaRer Fumwm Hcne WCV) AWms Korn Man a WarrmeWq, Naw Vark 12BB5 Name of Hamm[Fare Moore Dl:rysnun or Whom f Resales am%!ppediff Order than Amte Amrees 1FNc 6 Pemrlealm he Revelry grimbad To a1egNsea of Me human rememi;euMeed aloVs u maleeNtl. On,lasoee wham P.emear of Vast gee" xpreeme G+/F(rFla<mmim?y sgmdf mprmm Dlsuin Nmmher Name Ideas NornereaM, Nee Yon F IanXyconmeremain:of tieaeaWm Hem�reaabm.ewereai,Pmreemmaaaeamewimme PamRcon: W Meer Disnmannn alnico PIUWDisPosition f fxemw w � f+nrHa mmwai ba,emwreJ guamemsemnm,wrmnmemHem�� eWnu ED w sgnamre TMe DON 1555 RIFAM P1042 Public Health Law Sec. 4145(2b) ' 012720 Re ijx Humanrtt i of IA << r� 4 � A ". delivered on_ . 20 �� RePrcscminB the luamlbome ametl on bung pemiij Ponarel Oirmars Reg. or Llmnu X