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Abbott Jr., John James
_ po10N NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Remree Name Fst Al Unit ka John James MEm Jr used One of hall Age IfVmtanol USAtmea Wne; C&iMom MY Wvor Otles F Rxe of CnlF Hospital.Inni rom or IN ChsTownot Vd name u Tenn Sbas Mdress 25e eMYlarc dnn,M1bxu Tvm.Hex Vak l]Bt5 wmoment union shared Cause Ejectment �Hom:idd ❑Swaide �weerennima �unnairo ro CiumMrs<s ImS' Mem[al CenHie, Nam Title Mate OueiWma MD Addres. a Camay 0.M,Iluaere W ry Train.Nvv York 121014 hall aM[ale FlW aaYMNumber darter Number Cry.Tom Orvuland Morso, 4563 M ❑Burial Ora Cemetery,Cremarry or Ensure Name �Ordmbnent 0&26R@0 Pine V'ew Cremelwy Amens ©C.'al puwudry Tarm,Nm:Vmg Dona � Emi l Um %ae Mmrzd anam, ane/n,lkW Hold Address 8 QTMnam,tanon hY of by Common Seipmw Cane, hwnal universal om umeury Address ❑Reimmmm 0a1e unwYrvAaaress Permit Hord &j9alnn Numer Normal funeral Home MBphne,FunemlHdre-SdMGMm FeY oil 1J Main St S Glem Fella, Nei Vah 12003 Nane o6une,aI Flan Making Oisp Osman o,On Whom g. Remains are 5ll add,If Order Now Ali ! Address W g' PermisYon Is Mrebygronbtl Ism tllepbeeWMe human remains tleeMbetl ebbw as lntlluged. Our Issued CG3542030 ggisra,W vital5tatinka Leern Ma wk(EIWmCi[ally Signed) Impose) Oi9tin Number 4562 Na¢ Mwam Heavy" I Handy dial me mains as mete vaid mamTred abce saw mnysil of in am,tlm xidy MIS prime on: Uu of Uismsenn Pladed Uima non Yt r ,.,au Madera W /wnW /bnwuw/ rynw gName of nwhrsopp Cn af�ge Panel .�:w' Geis" e.L 2 .¢N/ O /Pta,MN MySMPnna U Yi ,itle r mt�a. I OJHi5551NM1W Pdo12� I public Hc¢Ip,Law Sm. 4145(26) 012757 Receipt 1� delivered on �— Humorremainsof ffi �zR� � Funere DIn Iiicln puwVlawp� Ponual Olrenana`L��uX Mae