Allen, Edward TRANSIT AND BURIAL PERMIT
No.. . . -.. .'....
•IlSTATE OF NEW YORK
DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
This Permit must be properly signed and presented, with Undertaker's Certificate, to the Railroad, Express or other
Transportation Agent, before a body can be shipped.
M A`( 7 " 1 ,
t New York, 19 ---
The Certificate of De th, having been
_ furnished to me, as required by the Laws of this State, permission
,
is hereby granted to `�"l�'"( / hol er f Undertaker's License No.
burial at t ,emetery at ---' ___
for the remo , and shipment for ere a or �� 1 �
crgip, ion en obtainable) y
State of ' .4 _the body of ___ ___ �,.� who died in
the Boroue of ounty of 5:31'1 / NAth,
Y on _ 7 , 19---'°',`fit M.
~T ears months-__ _-days w color, the cause of death being
Aged y
which necessitates shipment under Rule No.___ __o the Rules of the New York State Department of Health
for the Transportation of the Dead, as printed on the back of this Permit.
S 4;ea y.yahf-T._JLh!h,- .-,S dat'i Registrar
(Signature of Undertaker) -'This Permit must be detached and delivered to the Person in charge of the Corpse.