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Ovitt, Caroline /D,L NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau M Vital Records Name Fim Mlaah as Sri Gwanne Orin emeb dale at Death An If Veteran ells Areas Fears O91242P[0 1 WVm Annotator 1- pace of Dean HantaLlmmutonw Z Cim Townor Valag rams Fa¢ Saes Address GM FNSHp a Man nerol Death ®Naunlow , �Acri&a �Immkih 0anme, �thwomimirvd �pandin 4rtumnan¢¢ transition V Meaiml Cannier Name Tad are"Siche i NO Address 100 Park St GIem Fal¢.New York 12WI Deth Certificate Fiktl Noun Number wdosam Number CmisTorwariflee GImaFLle BBIl fat ❑Burial One Qmemy.CmmmN or Fa liry Name E1B11wmbmenl W2&pm Piney QemWry Address IC"em, pum¢Nry Tom,New VM 11 Barnett onImmeee Du pere umn.ea aneor antler NeM ~ Holtl Address N O Vaj ❑Tern more OM =MeM O Carter RAinNon F1Dirinmmem One 7 e /Pddnss EIReinterment Dan atmery Maress Perms lnoedw Wilo oNeitherNNeitherNamed Fu reN lame &evm Furern Xorm late l ao Atltlrerr Ra Chums BEM PoBv 5W lead ion or W New York i2Bae Name no Funeral Flom Mairg in,,Man, Whom e Been no110lhrlM1an Abarc � Beare¢¢ IN u Pmmimaen is mmWygnnbd bdlapoNN of Min M1Mmm remains deurlbatl mbnw as lndiubtl. De,mmea 01,2512112D Ragisnarol Vital Statist Rchm Andrew CUM13(Egtlmnually SiNmd) lrTnmel barn Num Fer Sent Plate auto Fer¢. New York Ir eddy the me remains N the decedent momentum"xems ift shifted al in uaamre Nash Kos perms on: Z w mine Diem•Man - .mzd vlu of Di¢po¢mmn P, g U a w 0 1 m.m+mi nonfeasance Name WSenon urR agavremi¢m J41. wIW�iC w IN sipnenre Trim ain su,s se�' WX15551O/4Nlpt all wnm Hea,m Um sue. 4145(2b) J 14053 Remipt Human remains of delivered on , pp_ F N dm Cemetery �ncm mme fte inc lwmalhame vamN on tonal Pemtit wrcn.l �xs.mu.�.u« '.