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Deuel, Karen S.
NEWYORK STATE DEPARTMENT OF HEALTH - Burial - Transit Pennit Bureau of Vital Peonies Name firm Mitltl4 Ian SeK Hazen S. Came femb one of Dean At It Veeran of U.i Armed Fmm. ann5,2021) 71rwe 11"I'Datef Pine of Dean Ibspi "aim nor 2 W eJowner Villet, more Fee Strte "dons Gbne FMYfk W p Mannerofoeam ® xatanca a ❑Aaieem ❑ Iwmkme ❑$uieae �Untlerenircd Li Mon W alemmmnm mme.n w Mellral Cannier Name Tka O KenaiFr PA Al 1 W PM SI,Gam Fab. Nve Yen 1=1 Death Cemreae 'ied DiMnxum[er Reaster Num Far CI .Townm Vill a Than Fine SMn 418 Burial Dad Ce:::elery.Cmnabry arfxi4ly Xame MEntwemenl Addm,0PD %mVbnPmmN/y caress ©Cremalnn greamLury Time.Now Vqk �famine �m:nm al Data vlare xemowd Ejanaror andbe Xeb xma Address �iranspnmion Dun Polmm ey Common Supreme Calmer Ees4Mbn FiDismiermem Date �meNn uereer Remmrnem one EemMervAaareee Perma lSw"d on R®Mtnn xum4r Nameolminere Nome Drew Flwrn lfu"a I^o m211 Atltlrees na Gomm SbMFG 6long,Lama"n Whom t'diB Name of funeral film MCYing DisnsNon wb Whom 1- hmainsarc SFlpfea.Mpher man f3we Atltlress 6 W u PormiaWan Is hereby grmW to dispose WMa human nmelna tlawMbW above an,lntliwptl. Done homed M7QC:2l Regimarm vital statistics R1HfAnfeV O/fisfElelrainllY991� atamre/ Dinrat NamLer wi Plain Glom File Nex Vuk I damp ma1M remnns of on, Imedent bntaiea name ware hoped in xumbo ee vain mid Mean on: iDMomispnsnun nive vlaaeofuivofmn Ofoea O Z an 4`11 awwN.i gName of anon or Panama m(M1arge� re ( i w Sig e" TIIIe DDT-1555(CmINp1ofl 1 UvemC � "p Law Sec. 4145(26) • - - - 014021 qq , m o[ J�--�.` delivarWw 0�0 , 20_ Repmw ing Ne fungi lM ^ il Ve^ilc F omd Damtme ft W e xNL_�