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McKernon, Jennifer Lynn LF Iowa of Qaeen36ory Cw etienofceelre Pine View CemNery Cm and Crematory This certifies that Ne remvos of. Jennifer MCKeMon were cremated on seommro. x 200o at the Pine View(MMO) Ory) Cremeuaium, Quesnsbury, New York,and these are the onansted rernnivs of said body, DateofDeath Sapemeer 13 (M 20(Del) 20220 Age 39 Fuoeml HoMee/SSiinogleton�Sul_livan Potter Registered No. 1039 (AYtlroflud $1®mture) Mcxernon LF NAME Jennifer McAernon 38 LW Uxixe: Harold B Gloria Williams 1W rHoricon 11A Gmer2 �: Urn Uied 9/18/2020 Imwu`i1O/2/2020 Fmw. llmr, Singleton Sullivan Potter CeRMuy: Pine View NEW r4NNnATE DEPARTMENT OF HEALTH Burial -Transit Permit Buremay[ValRxords Nam FkA NiEek bn 3v nMWmx FemeY Dale of Rath E{e XVen,m ADSMneeforta. wlN3tl20 Nvaun waorn w, Plxe of Death fall"l radiation or z 0NTwnmVd y mr, adroo Mem. 2150MYe letup famed Alpyle Tama. Nam Well 12M p Manrerof Death ONnural Cm, J_jAntlerd Nam e, Lj5ukide Lj"ear"' m L—Jpmei.. IN W MellmlfenNer Name Pile o Peal MD Ademas ]noram,Care,Gloom Fete Nevam,form halt[enxicue FredAmet Nunkn Redm Numxer Ca ❑Buda[ Dale featmny.Uenebrye Call w MIM Nave mhmnt fMdml m p.YWew Co"am" gmnlon OY.n✓/W Tnrm.Ww VM ❑Don Rearm Deal Nepal more mWm IYW firm heaven �l,anrpnNion DANo heard Wmmmrn Emmert orris, Deal E)Deinnlmem Doe F.mnerv.eereaa F1wimemlem a" hmeWry Adema N"kiraNm Rry'rbnoo nnmbr Name A Formal Nome 9Nemn SulMn P"FurmN HOm e1MN Add,,, .mew Fred,Ormor wry, fie.rom I� Name A Feel Firm M.Fing Rialoexion or W Where M. 3111115 Are Shipped.If AMr than Am" X Normal SO W n f4rmlWon IS hereby NnnW b El.poen Na the hUMNn mnelm EewrlbM ebew u lnWlptlad. Davelssmtl MINIM RINSIMAVmlSrav[nka ifigyxrymmrrtxmsi.%+✓/ nm.mn Dinm Ram er 57% Arm A,doo, rem VUN I anar mm n.temmna a me ar,wrn ixnrN.e,me.en aiapm.e a x armA....xn min p•mtx rtt: WDa.awprahYn ul'o MmeADI.Pawmn f moral Now gNa r1 e, m inDm � m W RE SFnmM r^ TNY DON-a5551mM1N PaI wwm Health Law see. mas(2e) 014031 Receipt — Human remains of — delivered on , 20F� f PmcNcry CemeW Repaeseming the funeral home nsrcd ou tuntl Fumit odreiai Funeral Oimuon Reg.or Lvenae M4-3