Sayre, William t N. M778
NEAP' YORK, STATE DEPARTMENT OF HEALTH
Vital Regerds Sect'Lir Burial - Transit Permit
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Permission is hereby granted to dispose of the human remain r1bp1J abort, dtcata
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! Date Issued5/19-17_014 Regis...n-1J of 'J./4a! Statistics i
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i Disinoi Number 450) Platt:J.' SAratzia„,.., Sex-fr‘
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I I-terrify ',hat' :tit- rornains rf fhp docrden- idenrited at-..ove were disposed oi in accordance with this permit on.
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