Meyer Sr, Edward lf-fl
NEW YDRK STATE DEPARTMENT' OF HEAL711
VIthi Records Section Burial - Transit Permit
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chaio ot Deoratti Aar rt Veteran et U.S. Armed Forces,, 3---LO: — 1 + 2.5 War or Dates i ci,50- ( ce
, Place of Death ,-i.'ospital_ Instrutiof iri
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o armor of Dealh "19 Natural Cause 11 Acnident 71 Hrdrucide 0 Surcidz, 0 Undetermined 1 Pending
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Name or F uriettal him Making Disoosdion or lo Who-n
i.- Remains are Shipped d Other than Ahave
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i Permission is hereby granted to dispose of the human remains described above as indicated,
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I Date issued 3)r c /i 1 Regis,trar al Vidal Statistics
)istriet Number 5C1 t PL.107!
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1 r:ertity that the remains of the docedont identded above were disposed di in accordance with this permit on.
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Date of Di.•position 3-41 -/311 Place cif Do-,00!--_4(in Azike V.,.:-.&/ O044t 4 ititt.-/
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DOH-1556 :02/2004)