Loading...
Sausville, Mary Grace NEWYORK STATE DEPARTMENT OF HEALTH x Burial - Transit Pal Bureau M Vital Reards Name Fan theme last Yi E2FSynN4e FemYe N Il Veteran ofUS Armed Fww;AwYra www0m+ f a G ehtyTw RalM1 xmPilallMmOonna y .roe'noavillrye qwp FYe S4eelMeress Te PasxaGbaFep Cynw Fw NUMgARMeNIXabn p' Mwwrd Drat ONatural Guw ElmilleM C]HUMiude Cjsutlee C]Undelmmiwe Net W Commandoes Inwngatim V Meeid Certifier Name Tnk Hereln Fri MD Marine 170 Wwmi MGlw Ftlb,Nam York IM Derm(mefcalx Filed oifiit Number h®Ar,Number CmnTc,m,mNALm, Gbu Film XO1 Anti ❑Burial area C<m<nAN Oman"or FaciNy Name Ww1V!!h0 Plnn o,OmG rey E]Emmmbmenl Mthur Ocremation mw Two.Nex YwR w"gord M QRemmrd hit Plewhmmaee F ane/mr aMpr Nell _ N Note AWtu+ S ❑TmnponMMn um wimd S bymmmmn hi Kam, Demnnin ❑Dismhamem Nm @mMyAllress �Andatman Due C<nw*nMeress Permit Issued to flry'nrahn Number Added, maeaal Nmrre MywEDBaMFlnarM tknta 01 t>] 11 Llem Leof Fun St Don mWry.Nw YM ovale Nameo(fuwhI Fimt Mating Duffile,m rn WM1om f hmainsareSM1ipRl.It OlM1etlban ALwe Atltlrerr 6 W C PMnnluimn lM Rival flrmbtl btllapow WMM human romMinM tlevaibatl normal jam llMlcWMtl. 0@Issued tWtY 0 Regislrar of Vaal Sound; "Vi'mr,Cbev rgF(mmFatlJ'�+✓/ /+ryawN 0b1d1 Number TOW Plm Gait,Fella, Near Yak ready Ibm the remains of the lttMem il,dff,e abre mm l'rsrynd W in axor a whh Tio Fw�nnilma: DM of Di+p+ition 1AGIMPlu<ml Dispasilx Ya.. t�� Vietnam, unmoral Name W Yon ar Ron in CAeB N P¢ F G(�� raa gnature s � TMe of O0HN5551wA0lpl0f2 Public Health Law Sec. 4145(2b) 012732 Receipt Human remains of delivercd o^ , 20 n %ne Yew C•rnelery RePeaeotin6 the NrcN lwme iumN on bunt Fnm� Metal PocenlD ton Reg,On Wcouep