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HomeMy WebLinkAbout2-02-13Name Unit EL Block Lot Date of Mark -out �, _C :_. - Date of Burial l 62 Time Name of Funeral Home _ 3 �� e`+ fq 4. Authorized by 13 _ 11 /aµ /7b - i7S s .o 7- .3.c-o 17 S*" Ted'_. -2 7 0 0 Paid by Ceral Receipt No. #!... , . , , Dated.11 -24 -76 fob List Price $ , blaxlmum . No. B.uial spaces .. g „ " Discount $..., Total area in square feet . Net Paid , 00. . Monument permitted ........ flat....... & R given on 11 -24 -76 0 (Data above this Hne for Qty Record only) DEED #303 Ji�COnaway cPherson P.O.Box 223, Wabasso (85th St & 55th Ave) 9 -4770 TATS 12,13,14 & 15 BLK 2 UNIT #2 BURIAL. CREMATION OR TRANSIT PERMIT State of New Jersey See instructions on reverse side E Township TOWNSHIP OF P%NNSAUKEN Date Feb. 4, 1988 The Certificate of Death having been filed , vviith a� required by the laws of this State, permission is hereby iven for the transportation, re vaiYDUlc►l44yi or other final dis osition of the body of: Name of Deceased r Betty Jean Gr ` , ;> ; n , :> < ,, ; © Age 54 sex F �, , .. Date of Death ' i Time of Death Feb. 2, 1988" °y' 2 . 1:50 Cause of Death pAfy►]PM Cardiac arfp Proposed Place and Method of Final Disposition. r� V [3 Cremation Place Sebastian Cemeter $e r Florida fa Burial Transport by Common Carrier ll l�,ye N [3 Removal ®yes MNo ;. delta Airlines Name and Address of Funeral Home , - -..... South Jersey Funeral Asso iate "s 5341 Rt. 38, Pennsauken, NJ Signature of Registrar of Vital Statistics cyar ree rar i nis vermit is $1.00. r Penalty for Disposal Without a Permit $SO to S 100. H -3407 SHEET