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Boucher, Diane Louiser r--- fig40 NEWYORK STATE DEPARTMENT OF HEALTH �' tr Burial-Transit Pemld NNreau AVilal RYsddN Mitltl Set Name flT lA Farela Dime wa eoner WIN of Ram Ave it VHerm d us Amue lumen. owlls 20 UYr warmones rosplldinatirWon or Mae M oeaM Muni CNw EN°HwgW DWITmrnurvnle¢ MeeFela �wnein WMannerol RaM ®lyuss, �Aa✓m Homiest �Suiitlx ❑Ortumssuiaees Imestigalbn V lide Meeiol CenAkr Name MD WNn MMa,12 MD Address 1m FM A GIwu end.Naw Y"12301 rirXumyar trued CMDIrae Pw w„NumMr ARM G .TucnmVilla eiW 4n�ery CremabrymFailily Rama dune, °m1erzmD w.Wmrcm.rr F� Emombment Mdress ODemands prnrYey'Twn.FMaYM FjDwafen �Remmm DM meb M and,m N xnte MM¢ pg Polmd q ❑Transµ,,, q Caner DeNnaem nee (emekry Merest �oisinterment �Aeimermem DM Dmeery Mdress h1% Humber N mil fued m,u M pays Furtl Mure Ottm Aideotfurieratlbme M'ese Mere,. Na ,,Ofauera aeweyu Naw YrA1M Remen,Funeml Flan M,tlndanAmnnnrmwrom I- Namam,a¢SM1i Ra.umnertmnAWse Z pEEresa C PermlWen is NerWY 9nnbtl b Elepop W qe human nmtlne yeealbaC aboYe a InEIaM. Date Issued OMtaaro wyn¢ryrwl Madnira Wp6eRA�Cmnr a^ vel"') 9 r,.o»w Dennis Number Samuel Mace Cyrc Fan Nex Yult ia,Xr,Hausa dismiss side ee¢aemm"fieaam¢.ert imposed dmamrs,"m min Femtlon: Due?of Disponifion 8 R io Pxea bisµnmm e I p¢¢mrwl n Nameybemnnr Ferran in UaryeM P¢ro ,kar.< r �Knam¢ TWA! DDx-sss lwna,psolu Public He ffi Law Sec. 4145(2b) 012731 Receipt _ w � �1 , 20- Hmnav remains of 1I delivered �— pcF�eeeauRg mefimeNEome oav��°"n ' � �_ MCYw(kmeinY F Npirtlm^Rc6.mLiceo+s ^m�' 4 gficicl