Earley, James B 1 S/ S
MAY 02,2005 10:40 ROYAL BOUQUET 617292737 Page 1
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Pim View Cumatnry and Catinidium ini
21 Quake/Road,Ctiaatnatauty Now York, 12804
ecnvoter y Cillicer S 18-745-4476.Crematorium 5111-745-4477
Authorization to Cremate
lic uncierxioned ITT.Quetie•Will auleuxusec Pinho VIV4V Coomatanum,in nonontonee.with und ntatwd to k..1 Rules and lananalons to
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:Signed WI this titbit:. Shia S'
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DINIX1101110 IA Or/mated Remealre.
I tieneny tam Ping View Ciumntoriont to disease of die inemated mimeo no folows:
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own sit-ovenwares-Reese 00er-tif•.. .---
it numerizellon or unmated remains Is MOMMOd,MOM neve_
Ir
Paivenon•.intv'1.2004
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