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Starks Sr, Raymond Floyd
4 9Yf NEW YOXN SPATE LfPARTMENTOF HEALTH t Bureau dWml Rmurda Burial - Transit Permit N,me Fnl Middle Last YK nM FX a sum,sr. odem Redn nve4.md , 19541962 bsv.Mp w„n,mre, 1 Maem oemn sSv,,1A,dreeumnw C' .iwna�w Gbn FW Smel Mtlress fden¢gl4Nvptl MnrtrdM1 Xralare Accosted Howide Suir m Mrs W IM V N, ir,IC,,w.. Hare rise 0Aunchnewer MG Mereu )Rd1 W FM A CJen¢Fd4NewYM 1]Blt R ,T,%,oe,k Fllet 5601 Xumtrr hg,ty N,mM� �romnw Nll Gyp FY, 40f mM ❑Ronal Me LrnHery.Lees"w%itiry Xmre F-1EmpmMml ems m wCremuMum ere,, ©Cremminn w Gp¢.nepnron x..rwAm ❑RoMon � penmal Me Xx R=wel Mpr mNw H MO AWress SE1TrMgO m, mH and S ymmmm WMwat C,rner Desertion ❑014memem Me Cenekry Aearc„ L]Rinynem Me tnxMn AEnrtu Rrmn irsceem =oKelm Numhr Wued Femml Mme un.ep Fmm.Ixpm.y MOM Min creel,P 0.m.n, Hudson F,i4.Me IxWe Name a FuwrA Firm WNig oipeXun Or m wMm f Ikmam„re Sepps.0 Onset man Aww RS Address w d MrmlWon Is horsey grnyd m cMpem eF tlro lwmn mmtlw EwMbee YwMM IMIONd We iSSWd "1&QfM Ik®mrd YnJ YJiNa Mph^A"�G°^' SV°°� iww Comm Humber Reel cM,Frx..Ywr. I adrynmuprem.p¢suede¢aemieemam+,m..e.mrpnma'm,�mm..,.mmmi.Pemnw. NO mkd pn,nPn rip parcoPn X. dsnm Neu/ ,1' .=eee W NMdrK bm,eaYq INmed Ymnw Rmnin<M1aga Perm L, ✓hIN K,,r TRIP ! WHM5551NAfl Pral Nblic Health Law Sec. 4145(2b) 012736 Receipt Hnmeo remains of _ delivered on 20_ WHO Kew Cpv Moo RePrexumg Ne!went M1wve�umetlm 4�N Pernti� Fmerul Dirtctars Reg.or Li eY