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Cutter, Betty Jean
NEW YORK STATE DEPARTMENT OF HEALTH BunaL TneSd PCTIj� BureauaWWl Rxwas Nam F9 Mcm Lan Sea Jm amar F°nub Oaleal RaM Oge IIVMranoI N.SAmNio�ac L6':1MVA Xl Yaan Warorwles p1mad DeaIA IbrpMLlnAMriMw GY.ioxnwviN.y S,,hG4mFalWSm vx.Wtlress r.+vW.MeY'wsMw Ma.wrmueam ©Namri C,,W EjMamm ❑Homintle ❑EnAtle . [jRnamX nrtmmnaoa, Imes wean MeeieallMmw Nam ShawShaw9lmnrcn NP XP Mere, Bfsy OeviWiry Twm,Now York i]EM RnF QrlilirtrU We fiNtl Uarkt XumM Rgirnr Number L' ,iovmwVi Sort(ANSI A'+8a LL nmry (MAY CemMry,Crem arrf Ely Xame �fnmmbmera WI Y wCmry Mare, ©Cremon amwpGey Tom.iM Yarn Elmaron p Bemonl Im vdeaxnrem rM/cr .nWrkW mm Address �imnspnmion Danrolmol bymmrron SM1ipnenr Under Corrosion ❑Hirinmmom Dade Tammry Mtlmrr ❑R,mem.m Sam anmM""a°m" PamirI,wedt, Feginra on xumM Name of funeral xomr MCPWa oXLLa Fua9 Nmn w+3J Address 1+ Isfayam s{Ommam,New York ISBN$ Name W F,wrA Fum XaNne Mamma orb Wbm hmansart SM1ippea.HOlM1ermanAM+e Mertrr w PMmleeNm Is M1enly pnnbtl btllepw of the M1umen moral ne�tl�ey�eejlTBe'�tl`M�o� w.[� as�ln^tllmlatl. D"l„uea mTZC2M PeXisora Nlalslaa" �5ma"',194P �( lff- 1m) mKwrme/ ol,ni,l Number 452$ Plaa Room Gem Feu,Winn, Nam Ym I,mlry fbn me remir,IS no heHent armored abn eve dmwd am a¢wtlanm WO M1,Fermnon: �^ Hoe of Himos%on Nm a oispmioom r =m IN anbamml ASSIS l amenmtrr //0 xameaxmnorRronin(M1.gAiss 2 bN- r w SiBnalure HHx-+sss(mM p+ar Nbhc Health Law Sec. 4145(2b) 012784 Receipt Human remains of delivered on , 20_ Noevrew Cemetery Repeeenun6 fle ftweN Fwoe nem:al on burial parent OAciel Po gamma Rea. or Ikeoup