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Hammill, Helen A.
NEW vaxx STATE DEPARTMENT of HEALTH Burial - Transit Permit Bureau dOtAt Recoms Now First MIEEk Lau Ra mx Dwell UMA Il Vettnnol USAm:N krte4 wmmowh F plane d oeNA xuapnaunmwmn or Z Qy TorvnorYRNe Mad Tow SnelMEnu m UnWAvenue.HWlry Tvm.Nrxvakl OX W Renard DaN4 ©KNOW(a:,e �Amde,d �Homode �Suidk �UnkkrminH �Pend'mq _ Grtumaurcea Inwulgaoon W MNral RNlmr Ilame TXk O pmY.kmvRn OR Md: „ W Yak sA Gum TOO rlew York laml Dend[enxi,neNOW om%rxvmhx ftov Nw,Iwr (T .Tn....Oros, Hector sea I I ❑Burial our @me¢rv.crem+wryn,fxtlAlxm ❑Emomemenl ORKu Mdm ©c:emadon pieenawr/Trw,Neu vM ❑onn z. El Remoteour Aare Armored a�em, ak/or" xdd Ma,art S ❑Turn. n Run NW,f o AY(ummmn SAipnem timer Derrinalhn F1 DOm*nrew mre Gee :YAdd:e., ElsumeYeem our C,,mgAdd:e„ Perm ,mdOr h 'on Susan Namenl(nneml xnme LurePnumaa(unem Care VC mdnn wz NOrNAre,Sw=m5p11ea, network rZW* Name Funral Nrm MaMneoi,raaiionn,m WAmm E. Pe maim art Nip d.A Runth an Ab,w 2 AMreaa Q W d Permission is hereby granted No dispose of Me human remains deaMCad above as indlostud. urn l,,wd dPN»o Anewo Vikl smear, K"Jor 5 ✓Kka 3sean9 nW,,m o'mda Aumhe, men Aare Hadley. Ter Io adY,An ft remain,dme kndmmimna,d aka...diepd,eadinaa<Na:a.:+nml,pe,mymm: W oak Of Dlwamun t b Plana Di,pn,Ann W bl nil m 1 gName d smmn o.P,,omn chum M ZI W svmwn rxk ooH-35551o/M1el P+ofr Public HaalW Law SM 4145(2b) Rx jpl 012781 Humanr iunsuf Pine V7�—r— Pace'a�Uvs�aa Reg. rcl+ttmeF C-0hurialpa�a� _ - 1