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Manney, Tiffany Marie
NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Burem of VRA Rxores Name Finn MJEIe Lou It Toren m ne Marne emale pneol Ceall: Rg IlVmrmof LLSAm JFortes, lorzarzlm Waoroms B. plated Dem Hopivy Irradiated, Se 'S Arai Peeress 197 Lsdm RON. SBmbp Spring¢,New YM liri Madder peaty anCirtumnanus© Natural Cauro �Aaidem ❑vonraw Osswer �OnhNmimd ElMgi:lg Investigation MeeiW Cendrr Hanle Too G:iYUPl:xebeon pp Mres 100 Puk01, R Fale, New York 12001 LtnM1[enRem ke ❑❑ Emnmbne nl BB knrypnim'ut Nm4r p mHumM C' iownwVil S¢a skitsNB Bur pm mCremmT1 ; Name BIEI2020 r:Address OCaemarlm ame :6ary Tuury Now York ❑Donn z o hmwal me Plate hmmee F aneror anelxlNe —m Hale Mdress E ❑Trensgnnun Dow wMof by Comma 5bl Canker aedinum E:1Oisinkmrem Data feelmrvAeere.. ownmmem one Congr/Aeeleu FermHlseveew RyinrdmR mbee Name of Funeral Hume M B anner Fnnmel Xo:m-Box,cone Fah Dive 136 Nor, role, NewPo 12803 Named Funer Fum If Orer Dispabove,orb WM1om y- Future ert5M11 ,IIUM1erNan AMse �p Address u leermieeion Is generally qmW to d"cum of we human dissembled above ec fntlicamE. leanne Dun krad John Paul Franck(El¢irml[ally!dn"l 6gxrvml oinrin Number Held Flu SalaomSpnmp4 NevYM R. I«nay the the mnains of rle emtlnl ih dfim aWrewere eispoo nl nareurdw ,von fl a,Tema on: W one nii,mati n Q-V yw PixeamaPomwm P )TCO. ^r1 jws DO a I w as aerrcw r m� Imm�i gNameofMmiat era he Mpremiser Ae 2 Nm.aM w evader Tnk COH-n551mIf01protl Public Health Law Sec. 4145(2b) - 3 Receipt I,, Homan remains of /n/.�ttq delivered on___ 20__ Aro Yuw Cemeuy Repremming the funeral home aemM on buret puma O dm Pon¢al mlmuOrs Reg or Gcep,,