Smith Sr, Raymond ..... ....... 11
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
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i I permission is hereby granted to dispose of the human remains described ova as indicated.,
I Date Issued /-"7....c,20/16 Registrar at Vital Statistics
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al Distort Nuhriber /(0&_..5 P'3'1-1-' 14'11 ..K. Sotto,.-ikcuc, 44c/cc
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i r.ortify chat !tit--rprnains ni the der.n,lorr, gMritli fid . 13-3VE4,.. were trisposeu at in aucorLiurit.e with thiLi perrrte on.
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