Loading...
Curtis, Sandy Lynn NEW YORK STATE DEPARTMENT OF HEALTH Burial- Transit Permit Bureau dVital Records Name Hm Was, Ian Re send L aMn F.,.I. Oareof OeatA AM If Veteran d LLS FmN foiax Denvm�o darned Wwo,Dms F Hse of DeWtli lbspile.InsNutionor ad C .Townar Vill FmI Em,oTwn NamesakesMHNIAsgNeLN S.Fpt EQxyaTwm,Nnx YokllBPB wManrerolDeatx ©xMurdcan. ❑Amdem ❑Iamtlx ❑minx E1ummndree �IwAdmeim cnamNnros an Meeratr.,elier here IRA aAW, Caron., Address W augurs Ross,Fos Ann Tm, Nm York inu? DeMA QniN,ata H4a DinrH Numbr "oerxumkr ,OftyPovogorlAffises FroEaeem 5]SS in ❑Burial Dwe TanmMrv.rremMwyaFaiEt Nane �Entombment OBTRf20 Pine VlewCmremry Address ©cmmaw Quaternary man.AM Yore EID.reHon Hama Doe place Rammed andAr mdMHedI How Address O m ❑Tasp,rrson Ismvoimd n by Common snivmem Oder D,O,4M ❑ Dinmrmem Due ummrvAxms ❑Reinmmem Dan GamsmAmems ve:,na lauedas u®acame Number Namearmarallmme MBaIm..Funm,Irmm.-Eon Bdwm Dram Address 82 mMwry Ford ,rd.New YM 128]d Nameal Fuwal Frm Mar nOispa,tbnerm Wbm RemsnsareSAipledlfOm, nanAMx rc Haan.: w w Permission is hereby granbtlrodispose of Me human remains described Wow as lntlluNtl. Due Issued DMnmmo Heyslrardwalsdanacs .1fm,eMuAa:ur fF/<r.onMnuyspn,� min.W Dinna Number Pss Place Fon Edmrd New York IanaYxume remainedmee aem ieemir:.dame.ereaiswseaa'marmwta.imini.pemuon: A w wxdaspo:iron d�x�u w:edasPosnan ti (✓h— f�r A..rw /I rumrumm rP.ea.Mn Namedmmno,veMonmaeadPre ' 112 Srem row Seven, m BOHI5951MIr1Blptd2 wnecxeym �w See-a1as(zn) 012762 � Receipt 1 J Human amaiva of �� delive�d ov , 20_ i 'IyI�,�R Pine Yew Cannery Rep�z Mom 11mvY D'ua�me R<B.m Lixve N t