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Goodsell, Donald Lee
Tr , A 1601 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau A VRat RRowds Fame Fm Mieee len Sv Dorm Lee coueMl Ofleol halM1 Pug B VMan oft OS Annual forte 0923,Mt0 Yee, Wa,wOares UMnwn ; R. Ruee of Rath Xos pi,aLlmli mono, Z Cay.Twno,vil Ou OUR WMAeeren OB CIFMnb FIRE CuenaMry Tom,New York 12804 wo M...Id Ran © xlafGnu Aaem ❑ kmDNe sakMe ennmmme, h w! nelrry Imem f Meeiuf QnN'.r Dame AuMms ,gam NO Mo eereaa Glens Oft, bw Yank IAt D,,R& V,R, g SeY XumYr Number cm.rom"' 'uze Cu.new K in p Rurlal oak ramefm.Tmmamrvmf:itiM xeire ❑Enromkwm Camnrmso R�.rw n.�May reaa ©cremaon a.maarvram.Nw You ❑ Donn ZpR¢mn.f Came TURBIDITY E anemr Hmtl meRSe N p T,anarynamn Oafe Nroof WCommon sMf mem Omer Denman p oismkrmmf oR Cemertry Means pFeimeme,n OUR QmwlWyAWW, Permit ksueeI :I son Rueter Name of funeral nome M+I^tea oBeKK,furerY Xom Ola9] Address 11 faf¢yme s,,CunlWwy.New Yak IZOM Name W F,wraf fnm Malune oispenon or to WWI e Remama am SIF 41f 01nv fora Move mesa¢ rt Fermleelen Is hemby granted W afro^^^ of Me Muman r a nalne deecil ed•bow ate 1nwlled. Date lssuee wOVOR) ReyNn of veal SW,RS nrtf2.aWpmM AWAVOD4dmu6YMb^✓/ AMm1 Omml Number US7 Plrze CuwNxry. Nw Yak ml(yfMMe remkna Mlbee¢aeem decode anam.eam¢Pnaewm.nae.na.xn�xf¢Penn<n: WOne of Disease 91tia0 haem oi¢po¢mm P w c wma nN,.Mwi W.....kn oxamem x.mnn,Penmmulapol Pmmi I L I z w< w siDnamre Tile CCx-15554PAMPWO 1 L.,.Public Health Law Sec. 4105(26) IM 012793 Receipt �} Human remain e of (�� Ciax�r Ee delivered on 20 Y > Rue Yew Rmecery RCylexndugdle funeralhome nwriM Lowe#— nfinal peimii Official Hmcml Oircnnrs RogmGcenx M_