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Bigelow, Christopher John
NEWYORK STATE DEPARTMENT OF HEALTH - - Burial - Transit Pe%LLLLt� Bureau of Vial Reamds Name first Middle lost Xa CM1n M1erJMmBI Nw Om of RaM1 Aw It Veldw d OS Armed Fora; Dsmmzd Bdnee Wworomes f PIaa M RaM HQKYdal,InmNGon or CdYjownraWHmi pLaear gTom, Samel Aeeres: TMsbnlm XurXne Ara RYUXdratlon sobs Manners oeam ® xamrarwm 0Amdm1 �Nomwde �suvde �unamemrima �Pomida VGrtumsunas Immoborcro Medical Cardfler Now rdk Wendy Blmnl®Wr PA makes 153 Su m®n Aw.QmneDary Taw,New Vale 12001 Rado QNhaM filed OistnKammer RgAer Humker CrInTommorydiague 181 ❑❑Burial ddresDm fenecerv.Kremmoryarfasiliry Nave Enbmbmenl OWd s Pk^Vrew Cnmsluy s ©Cmmmi pyeenepnyTmm,New YorkPo naapn O Qdermal Dan NaxhmmeE F andk argmrxeM m Xdd Address BpTa sppmdod Data Poimd S 4Commar sni mem Owner Desonmon ❑Disimemem Dm QmnerYAddlpss ElFamumua D4 NkrYAddms Rrmahumedb Regarded Number Nemeof FuneMfbme MBplmm FumrWnam.rAa Edwae 01079 Addms U BmNwry,Fare Eamm.Nw Ya%1NIN Named Fu eral Firm Nek K;Uslositionorta WMm Femainsae Ai d,l(OM1er IM1anAbw Aaertss C W u PormiadOn Is Neraby grmbtl EO diaper of the human mormins dermanbetl above an madlmled. OM issued ONNApA ReyNarMViulSWiiu Cambm N/degdr62arde, I mnlmRy sywQ fw+amal 0binn Number %51 Plxe ggenWury. Nen'Ym I awry and tIN remgns d the eemmm ieemrea amw were e'umree d in amnnna wNx mid Permit on: r w Rude doiePngrd 911r xw.mdoi:mrMnn � f n w a IrmarsYm raewwl p Name of mamma or Rrmnln Cfiaw d Premiums lm L �NIY 2 pep w sBnardre rude I BDN-1555 WASIPlaz public flealth Law Su. 4145(2b) 014046 Receipt Haman mmains of ` b ' 4ebvem on *� , 20 Pne Yew Cemnery Reprtse gW fm"homenametl on burro NMI Official Rmeml Diuciors ReBor Licenup