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Barny, Rosina • . -rik )-:.:1P..; .'-_,,rATE 1,- E1--17NILI\i- C rlEAL-H (,] Vi1.il F....1-: -•.-ords !3•:_•::.lr. Burial - Trartsi -z t Permit 7-.11y— R0 , 3,.1.na i Rie- arx,- , l -- 0_, c„.„An, 4,.:,,, ii v„,, ,, c.f.„is. A4 nie-d Fay.-c-6. 4-3 -zoi c, 9i p- Fe L-:-1 Death • --,...:ipl.ol 1,ritutl.rw-.1 City_ TOvill ,..)' \11 lag f• LA) ...:..,'N-7:-.1.A AcirPSF. I-4Vire of 1-he, C -700d—1 54 5/1 . I 144 An ann•-..-T r. a- laf Den ,,,,a,. n '-'1Jr ,1 =•--. : '1,- 11 ri' -11 T. 'I" . 1- r.11 " —,-- -1ntr ir,.. rn Ur en ed r-- Pcil. kdt n ---1r.re-r•A;msrarv,-..r•s '---- Invr•F.I•patior, 0 n,LU , , ,-.. . .... IV.li-Uica I 1.,A!,:'I.i I IC' , Ndi r I:. Title 25 .(5 al) kilutle-r A4 D Al dr L.,..i.S r ili Death Cerittict11•2 Fi ..-.-0i II 1..-.1r,I•ict 11:1:-It. — i4i-2:i-..,..!..21 Ni.irl 0:2r ' cry Mao,or VI . T. bit i 9-ori r /''i6f / i 111 Et i 1 r i a I r..."Ai,- 41 8, U.L.e.,ri 6 bu_rlj i 7-1•:-.!:er,. -rernntx y • :tipl.or I _ int_ lett) C-1-6/40-1Dni [Jctir,ep.m,„31,1r I.0,,:t 7,...mr,.., ri:„.47.10vai .tik:','rVim.s.:F, 0 1 Cfr- ard:nt , , ,L•io.t...Jr ..., ,InI tleJid 1 13,A.E.• 1.-':_:-nt -...:1 Cemetery Addres:.: -a. _ _ 'alAn,Fir:7::::sr:r:11:7:::::it tr. 3n,p----IE_•,r1l. try Cornrnut ...7.1Dite.,tse.l.nlnli.-ari I ' . 7.:-Filf. CH-r-pi---.er y Addre.ss I, 1*-- ''•il-i-Ati•Jr111Z. i ErTrri-t ii.i;;7.1 in ,.._- — — Rwishatiort Numt.:41, Ni.int,•? ,-.s.ist F_wig_1:91 Ha14110 rca., ,.,..e.r .QA....e_r_eti yfit in.c, _ . / / t.; '.4- CI)t, r-c-,1) 5--t. Le,OCe_ Lttui—rit_ Ay 1 2g1-(p \x,.,(.., ut FLific2tul I 1,111 PVI,tidsig D11or. C1 LI \''.'1! i..' Refrains are St-iirneri rl Other trnn .Ar::-:%,e a Atid,e-.35 i cc 1 w i a.t Permission is hereb granted to dispose of the human remain described above as indicated. ! Date tssueo 4-/is / te Fieniy...,:rp_r al ',..,"tal Sint/s'Act• id I • I ! ::Islrirl. Nt.,1111) r n '71:-..--;.-77-90) 6-1 (4,1.)) /11-Dr) I r:ortify :tier 771,2 i P marts r:f the doc.:,,,,..kit- 1,.1 •IrrI :11...-a.i.::t wet./.?.. :1;s:lasr.-...---d L'i n occ,Jruitnuc...-: with thlt, ks,.-,.r WI! OR 1.- Z ill 0,517.V ci Ot- pix..otioll tilitibio M-4 LP- 01 (ZA-)11)-, , N rai Nrr iAw 04 3•-.2,-)ctor cr Er.1 Son n 1.,11,:rrr;E--- ,-.I ::1•: ,2-7-ri.Hes tmeig IZ :uj _ (140411p/_ .: 1dtLFIr ::•OH-1 55'3 :32.-.20,2,41