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Burroughs, Heather Ann
NEWYORK STATE DEPARTMENT OF Ji ` y 11__ Bureau d vital Records Burial - Transit lfKKl4ll� Han, Fx51 N'6& Lau Xa NgmerMneI he F mW Dasof buth Am If Veteran d LLS AmN(ates, 01,10+/A20 46 Yew waror Dries F rime an Rew xoaplM mSN"o: 2W ("Joworn risen Somouldmas 1391 Bow Room l%,x49mmy Tom. Nov Wer 12833 o Idzn.... .. h �xarm,"ne ❑r.idem ❑NwRim ❑mkix �wmk.mimd ©Penei,M om rwmwn„a in" mean Meel,nunmer x.me rnM Wwl,lPwY Cupv Aaareaa a151wa:AW n 96,H,RUMn Ftl4 YINis.Nw YM 13B3p Oea1M1@nTrcMefihd DiMiel Number Ryakrxumber (i townwVi iwm 57U an ❑eunal Da! CemeRro<mnalaya:Fxniry xnme F-1fnbmbn,m Mm Y1w Pa�mry mews IKQ crema w on+enabmy Town xaw Yon ❑Donn o �Rawual hit, Pi.ec wrce F andla, andMNeld a NEW Mows 0- Man ❑Tmnapnnbn Data ItimOf S bymmmon mi d Came: Raxnwon �Diaim.mwn °Be Gwfty Ai ❑ximem,m Da" (,mm murmur Panimiamedm "mine,Number Name of Funeml Nome rdaM dOBW Fuvtlllma Address n l.byeM sn ammai xnwYmlzma Named Funeral Firm Maliiq Diappmilbnormwnnm Remains am%said,If Cher than AWe Address Pmmisula Is hammy 9ranUd BY dixmoRR M thm human rxma nn dR.wxnnd eeow as Inalluptl. Dee iamvl Daffiev Y0 Reuvrarol VilalsrniN,m KS^,6i,AA ee w✓wtly Som"?) v w Diann xumbe, vaz Pka W„p,o„ryro..n xawran i,emq mndw remaimdti,dwxnt Mainland mine, r,,dl:Posed d In aummrte win tis win un: Deed mammon 116110 Plan"DimPomxian ImIW m l m.w..kq x.n,dswno,wreon inm.megP.mh� t +1 z //�/ W SBnnure 9 llrk DOH-1555(WAR)PIWz Pubbc Heath Law Sm. 4145(2b) _ 012796 Receipt 11 IIll Human im a 1VII 4� r ✓ delivered on , 20_ O&cial R pem�mg We fuanM lwnie oamNy� [ I'wnLUvalms peg aL�cmx� '�I�a