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Bell, Edward
STATE OP CALIFORNIA DEPARTMENT OP PUBLIC HEALTH DIVISION OF PREVENTABLE DISEASES VITAL STATISTICS 9!if Local Registrar's Permit for Removal of Cremated or Interred Human Remains Cour lr of___giant a�Barbara _— - -- THIS PERMIT DOES NOT AUTHORIZE THE REMOVAL Of REMAINS NOT .. Crrr OR TovN OF Santa_Bkrbar5.4. Cala PREVIOUSLY BURIED OR CREMATED. DATE THIS PERMIT ISSUED_Tu1y 25, 1935 In accordance with the provisions of Section 11 of the Vital Statistics Registration Law (Statutes of 1915, Chapter 378, as amended) permission is hereby granted to_ liar tin J.Baider Name of applicant for this permit to remove the cremated/imizerkremains of Edward _ .$ pl?Bed Name of decadent Age-7 1©^ Sea_ Male Place of death___ eta B$]Cb t,_Cal_-____Date of death_TUI.y__22,1935 Cause of death _coronary oa0Insion From 11t. ._. .ultra Cemetery_ ---_--.____to Glen Falls __Dear York to be delivered to Bullard, Reagan & Safford Mort _at destination. Name of persona,crematory . 7flt Act- Mos District No. 4256 BY Deputy Regi st rar THE PERSON RECEIVING THE REMAINS AT DESTINATION MUST FILL IN AND SIGN THE FORM BELOW AND DELIVER THIS PERMIT TO THE LOCAL REGISTRAR OF THE REGISTRATION DISTRICT IN WHICH DESTINATION IS LOCATED DATE REasnnas RECEIVED --- -- ii�' DisroaiTioN or s __ Dada.snr ,sensual,sta. Halo Sic This permit should be issued in triplicate. The original must accompany the remains to destina i ; the duplicate sho retained' by the person delivering the remains for removal and the triplicate must be kept on file by the local registrar who issues it. Nora.—The law authorizing the issuance of this permit reads in part: "Any person entitled by law to remove an interred dead body or to remove the cremated remains of a dead body may apply to the local registrar for a permit to remove such interred body or the cremated remains of such body,as the case may be,and the local registrar shall forthwith issue such permit, retaining a copy thereof, for which he shall receive a fee of fifty cents to be paid him by the applicant for the permit." 60104 10-31 16014 CALIFORNIA STATE►RIRT1aa O►flet