Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Allen, Herbert H.
NEWYORK RATE DEPARTMENT OF xEPRN Burial - Transit Permit Bureau of Vital Records Name IF in Middle hn See. Male Oaleol Beam Ig I(Vnemn of i AFTI ari pn/lflRp2p B]Yeue Warwwless F run,of Rnn "resonance or Z C'Ty,iwnor Vi a9 Street Rdd ress Suempn Xmpbl p Mai m Berm Pflii Cause ❑maeem ❑Xomkiee ❑w: �"cousiired ❑Vending W CnumMnae Iran NJ Medical Medical Ce Name Tale 0 MIMwl MmNry KrC Address 211 CnurNM Su BS irye.Nux York BOON Bunch Cerei@m FIM Bleuinxumhr sessrvxumM Cierlicamorli lamallawss4501 e69 Rural Om Qmnery.ran"or Fxime Name Emomnmem DHf1M1Do nonvrew cremmmv ❑ memo ©cremation a..nmoY TO" meal ❑nomm" 2 Xemm.l om vlaz PenmN o ❑under scull N Hind Address O N ❑Rans{oreNun "NomPomShinmem Am o C remmon meuna� Carrier ❑Disinter mem Bare remerervAaeren ❑Evinminem am Cerererynderera am,Xl soused In Reynminn Number Namedi'meral Xome & FM rn XmrMlnc CfQ11 Address 20 Church PO Ew Nor sameWxmne, New York irises Name M Funi Fret Making Oispoi orb Wallis f Base insare SM pe4110MntIunRove f mere:. Ic w b" PmrmlWmn lsM1mbY Bnnbtl to tllapow of Me M1ummn mmYng tlawr{bM Mow as lntliubd. Bau issued 09431=20 Fegistmrm Vilri Sminia John Pool `r=klElLtlroniEdl SigniEi Reww=1 0istmt Numkr ride saemgn sprang. NewvuM1 ennv Inn me remt�d the aaremm ixnvliea am.e were aepeee of a:ame.n:.;tn mid cermn ran: i Di Capri9 M plied Disputes ry rlm Z ne.+ wren,i 4 rr.remm�r SM. 1' Name WYMnwrtr:nnmrnargedv�egi_ssf / euepaU W Signnure T'@ WXi5551o]MI P 1 Of i public Heallh Law Sec. 4145(26) 012774 Rwupt Humauremmsof AelivereA on . �— t 1 t NaY cemHy' ReM.wun6�hefiw�al home oaovd onbviel pemrit Mom Porivel Dime�as Re& mLi�eoxX