Loading...
Bennett, Penelope J. 01150,6 NEW ttW KSTATE DEPARTMENT OF HEALTH Buriat - Transit Permit Bureau of Vital Records ' No Tom handle Iael Sea ebpe J.RnneX FM'W Oareo(OemM1 Igo N=00:tDS AmeA Human PbAeoODe Waror wRs Pltteolacr sass NospieL lnniNfnnor i atr.TownorvBlage mataStory snen Aeemee saramD.wapxN wp Manrernl Dean ® Natural Cause ❑A„id ❑xamiide ❑suKide, �DndeterminM �Pendim did DOtan MHien CenRe, NAM Title Coenx ll DO Addma, 11 CnuM St Canbga 5mlrge,New York ilnW fees,Current, Find oisMn Number Pry'ukr Number a1y.To.lorvBl sm s - EIB...I wit Rmelerv,Cameroon Fxiuly Nam mR3/ep'A wLremebry �Fmombmen Andre N]Cmmadon aenM.JrvTmm, N.w Ymk Onn o El Rem Dm place whose and/or sanctuaries] f How Address m O Ard N[ElDI'llNmni Tra ,mro m had5nimmenl is by Common Carter aMinnun Dan cemerervAddres wlmermem Dan cent NACOM" larmlt Issued to Peglm nn Number Nemenl Funeral Home 9rewer runore Homelrc N2ll n Addmaa sa cwmn wool po eo.aoo.lwweomo, Nm von l2aa Name of Funeal H rm Making Disposhm or mWhom F. Romaine and Snipped If DIM r than Abe Address W LL Permission Ed M1xnbypmntetl Ins dlapow of MS human mmains Eancsibnd above ulnUlctlatl. Jeff Issued wAX&I Fagimarol Vital Slatb(oe John Paul Franok lElaelmnitlfy Slpnem tr� Diarist Numtrr 4501 plate svenpa smlron, Naw York I airily thin the remains ONE drNent identiDed more armdisposed of in NAXiwAm a"Mat", W Dan of Thomson 5151 /n n:em oispoennn ss fh � ad w Q /ew{0y lKK .—, lgennum%N Name of Bannon or Perron in Charge of Vqmld r �r M Z Shpature firmlp� a arm MNn5550IM1aploll were Heim c w Sa. aias(zn) 012798 Receipt x rem or mi erea m �: :.. , za_ e;av�c�iar �� rteermeorios wer�mwe�wmawiemv� o�a.t woad w<aa=xe¢.Ru�e» ,