Dymond, Frank ,...E.,,v. ..,,CPA :::;TATE C-',EPARTNIEN 7' OF tiEAL71-1:
Burial - Transit Permit
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1-11-142,ii1drilic,rit:
Ririrriri t Iss,ori to _...., Registration Number
Name f:ir cultetal ilf_irr.:1.11-klibbr-eA,C.8,C,,r- 4r7,u( 4-1-0a1i 2 )}(1C.._ COCA4-11
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ot I Liri€Jial t nil Nlakrig Dispo.,,tior, r.:,1 to W111:-.1
I- 9fir-,ains rare Shipped 14 Dther tap Anove
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a', Permission is hereby granted to dispose of the human remains described above as indicted.
Dirile 1.F.'LLIE'C I i i )5 1 (3 RE.-qm'sil.r. Di Vial L--:Intstin US)OLKIpc-NsL,
Nir:ml : 5 6i)I Di3.- i. ,Ay" Of 665 Ta 1k;
i redify -.hat rrt:-., rogrrriails nt thp ,:locr~:torr kiFritii,E1 AV.D v'e. werf.1 disclosed cll in accortturice with this perrni". or.
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