Johnson, Merrill NEW YCR STATE "DEPARTMENT OF HEALTHi It 19 L
Vital Rietiords S.,..i..fcillurii Burial - Transit Permit
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Permission is hereby granted to dispose of the human re ins de ribed ab vs as indica
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ii Dare Issued. I iz_iocii.a0L3 Registrar di *Vial Statistics ‘
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certify that trio rerat ts pf the der-rid/ire, identified abipive were disposed pi in accordance with Uri permit on.
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