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Rhodes, Denise K ..... •" . ,, fl (10 1:.....' . ..-....--.... •-...'"::::.1 ..:....,, .,i...,..,. !•.•:....":::-. • ... •• " " "aii-rgrowiiiia,fai'ill,t,..,; i.,4•714..i;44''•' -: . J.-•,•:::::, •:::•.:••4 1111.111111 II 1 II ..c..p,' II: .D.ittii;.,.;:),,14..ITtraritlt).tNvoi*.iitogrei.v#izi st.,„eig,„:0 iim arii940 • , • •-•, :it-.......,,,,::::: OR TRANSPORTATION , . . ... .... ... ::.•:•,...:: .. F.i..114fi4 670 1:10 14 PERMIT ...... ..,.. ,..„. -.:: :!•.i . f;:.1....i..•-.. Infiinnation•aurcessary ter the Certificate iDeath kas hien completed-for: ..:.?...:, .,:...f,! i'..•-;:i'.- ,.. ilecedot.f.Kow& RIKILIES , DENLSE K .....:..: :,. Pi-4re ajpi4.64 lillit311401 A7•4211 WONIKIN'S liK)S PEAL DOSIGN.,.MA. :•.,•-':''.1":- . . •i., Da isr:iitithioth MAY 06,2021 Date ofitirth NOVENISER 01,1954 So FEMALE 4• .:44 koriderici WEST MOUNTAIN ROAD,COKINT11,'NM'YORK:12022 . A , -..,. • , ,.., •— ::tt. •iftl-N.V.10.Palt;.gpeofi'?bill riit:'fo igitkii0)t;tito:07 Pewenti . i:. NO •:-....:- •,:::.';.. 2 Breaeh,Ofveriiit.iit'y jnitkatree•iti) '..Z.,••.,,•:-- :Defe.eables (tItililteicati Alto Lktoiarvdirrraad eeeenry .Seniet Sum bofontfait retvtg) -',..:-''. :-..;:....,•[;::, ',.... .. :-.,-' • -— ••--,- ' • 4.,:..:..:.... .r-,.7...-..- -1.',..'.truji.e.r LliCHARF AIdeN YOCHUM,MD La' .204475 ,•.•:::: Iildr....7.3 MO:CZ.S TREK",•110.SIVN.MAS S Afi.71-11.PS KITS a 2.115. ,-):::•::::': ..... :.;.:,•:.•••.', =:••itirarerifttiCedireed(&*6 ' .. . , . ,,.....:-... st ... ., • - • •,.., CYTOKL'it RSIOAD''SYT41.11tialrig- :IP. This pninitt authorizes the-rot towiugFeue ret Service licensee or Designee to re urove dispose'or transport.rental as as listed hellion. :',--• -• . , .::-.1,"••, - 1 ForieridirecierodArrignair 241E01161,PA-eiCAS 1:ie 4-,$loell • . ..... r..e, . •Z :Fa c il0j.'PA,pa.k..1.FUNERAL .11111ME,' LNC.„AVATERTQWN:, MASSACIIUSETTS f,::'....• .7:ike DENR)VAL PleiD1i4 STATE ...Dore orDoposirliiii MAY 10,2021, , • . '''..•":,:::,t I„ :Ptirrealeett• --,:::•-..: I :PDIEVIKW C.ItillATOKlic••11 t,j1lAididi 11,11AD,41ITLENS11111RY: NEW YOIIK 12SO4 :':.. 1:Z.•F.j.: .-•:•'1.' - ., .. . . -,:.•.:.::- . . „ ,. . .„ : .„. . . , , , ' . .ge)111074tVIIIIRAltardi arldShliptie:9• . Sotrill of Huilttg4 goii.til Ilt„) !It)lii .....::...? So.t.fr Tiviltog# .022940 toad PeAttir a •1111,012940 :::::",".; * .• • ',*4 il' it0 MAY 00,2021 Ade• NIAY 99,',1-421 -,,;,.....y. -..,.....-.:: ":.:::-••..:.; ..r..- • ..... • .. • . .,,..,..., i:•-- Nom - iditioirt PAIL.SHLI 1q11.41(1.11 •-ii":".•-,-- • . -,... . . .'''..••.:. :-'••.::i ...a, 1 hereby-certify thst the rejltkitkirViar 41Alpdtiit4t0 I'Ia.accordance with its.tersos at the place and dote below:. ::::::::::.:-: -,-.'Pima rilDieptioitioarForitity liner roafAiiiiresitl SigA die re i... :.. er : • fV4d•Vtit‘-) 004A ircrPe4,0n lA .. . . _,;...::.:: 7 • ' lpAii 0 i-o!, 1 ()4 iiik. eow ,. ,wfir4sf3i) —lx ‘, .. 1/,.(. ...., .la ... ei ..0,4sporiboo.23.1te '• •,1).irre rourrpoiritiMo • -Aloair oadreqoanderiror.4 lakortvii iterigeVr: ' .'i::•1•:.• r..4 - ' Crisititrfr) • ..`" 51 t011it ';'::•--•:.• ,'••..-:- T.....- ..,..,..:,, Arropronce of Permit .:,....„, '.,•:.'.'''', IT"Permits printed.with the dmiirstion"E- 14 -may be*II:opted by a disposition twilit)!prior th o te completion o fh Ll P te ocaettiat 6. -.-...:,:".•;, PEK .:::•:,-:• Tbis&signet ion.'indicates'that the dcinketrtificate:itini be et:dila-nosily chested for Comp Ittenas.ht than imses,hoards of health or tire,ir. :.,..-..:: . . • - designated ograits•will iota aisigo apornitt nonthet tip&culatimpent verification of death tiltiatiori hibinn•ation•and prior to r4Ostration•• hy tbocity ar town-dui(or registrar:.Permits Agog rho"E-PEKMIT7 do*-01 lire=contain ii hical permit number and date-poor-to 6Di:ern/dm for rtisp,oritri. ....•'''4, A rsetnatiott' IcaterLee'froto the Oilito iliftlxi MO M cilirailf.,)/wriiitte Is•still itetii0sry.p ria t o crernat km. Fr 1,it.E:4-0,rfile4 death' , . t':.••'•:-: ,:::i.i• 4.1grtificotm.;.iliev.ratiition classince may. •'twig/treaty tlici issuod1Xlevininoc:ititti4 tit ilii&time'The p unlit vim petaled is.Makatea at the top ,.... ',•-'-_•'.: of thisform. • c.f...., . ,-'.-,• ....,:ry: And Cant114".1.0a at 4iisPO$itilear1ite diSPositiOrifecilitlil tain Lenora the tompleted permit to the hixtrti of t,..,at 10:awn 1 oli listed'above mid ... • ., . retain it cop,y foriticir records_,.. :.••=:]"' ::;:,::::•..-2-21 ::..::..._:.: •,,.i.:::: i':-.,:•"::::. .:.,..,,..:. . ,..,,.,..:.... . ... f),••:.: Public Health Law Sec. 4145(2b) 01 4 7 t Receipt • Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named 9n burial permit Official Funeral Directors Reg.or License#