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Mercier, Raymond W.
NEW YDMN STATE DEPANTMENT°F H FARM, - Burial - Transit Permits Bureau colorful xxords New firs Middle last k+ W kyrym papot ceM Ag IF VPsran of U;&Armed Forte w Orlsh) 91 Waror°Aes 1847-19m ; F plaxplpeatry WSpHd.lnNlutionar 2 C .Tumor Vit Now rown,hreu WaWyXWNGre GrArin[ B NannmW cemh ®xmnra wM ❑Acol ❑IwmMide ❑SAI �waeamnwed U;-.--S w threatener; mem IVjI Metli,hi GhO r Name Nue w Done WnWuk NP Address 11t parents 8t down,spore[.xrl'aM l] RMferMrm FlIM dmkl Numhr PagMrNumber Ci .Tomortil Now 8 4911 i8t 11 Burial (As @mxerY•CmrApyvFm4ry Nero L]F^wwwm =In= FNMmCMPWYm Address ©Crtmalion Ouxnanury Twm.Nw Ydk Qsenator r-1 Formal a1 °ro �wa d F whom How Address Y1 ❑Tniu{Mawn °w Sam mm1 Canner n Ileed"m Grrier �fundament Data 4mMm Mdmu ElAslnremrem °aid c ,wero Andress hrmnlss I Prynown summer Name WFurcMN[me Da^emrn Fumnl Fbmslrc DJNa Address Bomma^Aw,Crams,Nw Ym 12822 Now N FUMW I News Dispernew or w When b. Remains are Shi HUMWn ILre 9 Address he dl PermiWon is hereby smnW W dlepew M tlm human ralrahms Assalbed abare as IndlabJ. Gmloud DIVI PeyNarol Vine Andean John Paul Reek(Electmoille Slgl Mf Aprwuel Dinnttxumber 4SOI low Benwy Spent Nw Yore F I cmdre aYYe moral N the dwecmrt I allow Mr,dlspuud W in OCCOR eWMimis wal W Date a Dieposikan 8 tj IA+ plat of DisposmonUJI Medenr v� ww rla.mne me...r. gName m Easternorrtmn in ueiypl premlres /� AA;. wJ IN measureTme r DOR.1855171W p1W x Public Health "W S". 4145(26) Receipt 012740 f J Hut remains of 11 . r �?� Delivered on vme vm cep ! ��-- aea,l Re<s.g orU Pon aexa ml Uex�on nemetlmbwalP�i� or