Whitton, Aaron r..zm V. oz. 0-10.5,-)1),000 (17.1423)
NEW YORK STATE DEPARTMENT OF HEALTH
e- OFFICIAL BURIAL (OR REMOVAL) PERMIT
Elm'This Permit can be signed only by the Local Registrar (Deputy or Subregistrar) of the Primary Registration District (Town,
Village, or City) in which the death occurred after the FILING and acceptance of a CORRECT AND COMPLETE CERTIFICATE OF
DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK.Dist. No. y 6 O/ Registered No •l a t
County V-if .a: pew-
Village O d-c.-e-Lez,--eis..... ae.)--e4,(xze_,City (If city, give street address)
Name f deceased 4-T/f c-C_._a
��=! l •
Ingle, married, widowed,
Sex.. .... .. ... Color r divorced (write the word ate o ath / ,,,
Age CA' Ye Q Months 0 Days Birthp la e-
,�
Cause of Death...... .,-1z�G� _ ,,,
Certificate was sig y ...,.. (/ . .. .... M.D.
Address ,.................................. ..... ....
Place of Buria r Removal}....... . ... (J,4tr21)
(If body is to bet orarily held, fill in sp later)
Cemetery Date of urial 19
(If body is to etnporarily held, fill in space later)
The Cer ' to of Death containing the above stated particulars, having been presented to me, after careful examina-
tion, th ame appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW,
I have cepted the same for registration, have recorded it in my Local Record with the above stated Registered Numbe ,
: 5there02zr
Y G' • A--PER 7
/ Address)
the . i . .. to old tempora - an body
. f•
(Under ke or person charge of else Inter, e e, or other e dispose of [state how])
Dated 19. (Signed)....
Local Registrar
This . it is sufficient for the Removal (and Interment or Cremate o dfso y any part of the State (subject to local cemetery ••
ther •_ulations), unless removal is by common carrier, in which ca e a Transit Permit (VS No. 62) is required. �,
',t
/
.0
°b. Y, a, v Y �•� aiO w O '3
a
o
\o {r
c, u-- s. q X � u Y wa � 8 °•�.�� � � aa � v,o.° va3 > 3 EARm --c)xEp � an'? 6�oc .- v ° �°•° G '�b ia yW� L > a3ycaY i y O u L, ,w a ~ ," i u 1. ri a y v
w qy�m 4, . p:mO , ., 7p,a .. ms v — CdO Z • Av.. O O s,•". v y5 . N... a > Zv O -O ca > ., aw -- --u .4
-0 gOOy u " 0'01�• a L.a o'
01
p.,`w .+ ,u .i e) O -' vai'. "dV 5 y0Odo '-� 2 ff � y ,., . O u ..0 a,w 0v •> ue -G y p b y Y Y ao-°P ,t p 5 a P P,Y � �Y3v Oa a ° .04 ° oo" u .0 7a0.io s. � p w >5 , . w . t° .-, 1' t..+ O cdN u ai 4+ +
V.
•
▪• oW N ° :x' a ° z ° wova y. ° 0uo . ° P3 :� ,y.. ; ° n ° m�-[ 4.u . md 'u^C ' a ,. 67" caa, . ocn•u a' w vao Oy m a ! P' ° ci vab0 y'b°' .4 a av at, Ov b ,. a,y . a
d
Qy dE .andoa,ho=bop�a °. s.x0 y�_a �'u>yu.o U m,. a� 5y.C , av oil: ° a s, tdyaa, a '� " Z. . Cu C ..>4 >,'. dgy. 'O >,+' �.� vu `,n ° p • r' to>, s,�+ u ,n. L °yvo 5 o•7 y .ca O a,.4 •'u y T3 nv �.'^, .1.1 i
.9 ar ..
4.
W .yw... I.a' 63 G v B P. YN, mavaa ., wOmp O t,.. O `� °o .+ > gmA ' O a O , Z .. P v Po _ . • E 0 °_ °° w• a 3eo° aa . oyCvv. aiya, — ' w ,reC.) .A ., ac . � - ra, oa, a u ,Aai m N • a Esoaa � ° y M ��b •5 °5 d ° o as-`a o t WI"-»4�' 0• o:v� op a, ' x a, au, +'.-.' • OZZ , vE" b o�4 as ` v. 0 v 0 a b v m' v b'-' > w O ° , mVy zo . .v ,, a a u m va'ua o >Q{4 W ,-w + W py ,b.••.Pa v+c+3 d uu op i a1/0 ^
%
• � ' ?... . k ' >,> > a I i-b.� y yv ._.�,�w Oew
2p dw iw E 4 ,. >,ca >,0 `A"O,,0 I.
,)u N ••-• �. 0 pM ''pd +0) >,..6+ 0 3 'C a a a > z otea¢ � 0�OMadQaPs vyTi � nC,. �w C3 � uyn« a F ° uy s wCO b-
4. . .. L' vc„•- a"y4O cO U'p , ' o "" 0<4.1tC W 2 G ymm U E..-1 aw aOam . a'ya a a v Y N PU C - ,. a 0 , a+ a a .1,- ,, . N ;at
fg
x A E-, t/) v O.aO vy .,.�x . Oi • . O- ^,a, .X •. au a . ca w a cd OOa,-o vP'aW E o o u w 'b A o a a ,. .. >,aa '., ^w . a m ,- y ., 3vca ,: O '. a A. Z W % l' u 0 dZ W 74-- 5 Pf 0 .. � s a vC . O P' ' -0 . t .m . .4 4.,'-' I..et v ca b, a m u'- - a c =U 4) ° ,M�1 V y i �� " ° xay d mo.�� b his a ~i Vu.. mw®Z E' H ovE0-o,2a], 4., o43 . N m Ia v, i'y to ^ N ' aa,;1wm� ° t ° oF�. �to ,a " tio x � `� Jy -Z bc, ° ow ':4 ° " aa ` -.4ZZ ° v I %, a,. 5y . � , a c,.r •r. o.�;v o - ti-o� qo o @0ffi.�7o d a d y, as .Q W o ~ u ow `> avv 3 `, o5 - a, ob 0clv . m u ., E-,Z `Ea roz8 .E - ... - oow_m .'tiu a �' � oaoo � ,moo ,. m a'� v•V oFE '°°a, v v� r > cq ^C PI , aw a.,,-, > a73 c -'aU m 4;H ° 4s v m m� a ,. ' a, a,� , y vp o v y0u oa, � N m ,4a, ,.aWw tx� , ....EO, u E~ ° �'- > caa'cdu.av c � - ,- O ' Ov'4 ';i.' Nv.'Ccda.+ o u oo4 _Wz 64
3 ,p 24 ° 0 •'t Q- ,> ' - °:` x Eu ° kvc amooa, o4 A >'b
•
dOw W W oa, E1 - o . �',� 0 > " , x eEra, " , a+.� � � v' P oa�.EAc ; azw's�Or E ‘+� ya.40 mob-amoa .1a, CwxZo ao y uaay . i, a y o o �i^ u..,,4, o 4., 4 .° , aW Ay E R} ' aO � a'oa. o ~ .4. a° a mbyO a v � � U m b/^ s O.o a _av �VpW�a Z c Z W , v 't ° O � > u ; va 4,`: y ,,., aFb - O 4 � � v,, . C �^ oa �' GN ° 030 ' �OWV bv6Ld .ayca'. V v1 = i'''^ .H .,s, d + (j . OowU?aO a � 0 � � C � � °' ca " ° e ., V > >
F.
ill
4.44
ct
04-•
N 4 yoA2 .. , O Z.P u .a 73 0 ,.., tom cv s . V. .... Z baa, 7 ,E.y mo W i ' 4 3 G o +' ua lZeiE - a, 1-' i "s .. bu4u v, ® o ,w 4, u cas, 4-' a - .- . +-' cd °Z .Oc Ov a > avOubap ,n ci -O ' of wrw.,, u c, ca TCfl ,,... u L' .aar ¢ to . ..• vav ° o= . ° >:, y° c o.., as a -ova a ca 4.o4.,WW p°mE.,.. t F, - ,. ..° a oo da ., ,, i . teal '2a i V . ' '''� ., OS0 ' r 'a , Ou +4'>' v Ea
i.
1.4
a0 " a.N',•-P jv --,r '-' -- v '' ' O v �4 > vuZ .E. a v 0 -. .', � �b1.5 X1-WQ, 5 o. atU� > oou'y . tea .-y3 a0 m ,°.a . G m. a - T. .a .c . c" W .u.. c i ° Pr� -0c3 aOa)v7� dr,�Ci) le u Wa' ° ° '',' ,,.vv' 'z: Evz 1 " � a, V - - n tI"., ' wv O0)A,w> Q p ,3 . O _y" O O C ., n-!+t > °X m is. pO a0 O uL / � « 'v•Cvc,'bw�° a wva) ,.' U• uuOS . O . � Oay . 4 , ^'cv w -.. pOa'a 04, g > a.t .= ^ >, tdM• ° s,'7.., icM:5 o cC� -
co
L.1 yy>i� C.J � vCp ,.'7L, � C ^p y p co w s hp?-
0.4
z o Ga'Q O , 4) " * y ° � `°' . `o' • tiv,yy C' aw ), " X.t > a .: gi.`:3 • pa .,. ,. rt.5 �"A� p.� v4) ° ai' Y ° s3°0 0v y a a 0 ?1. � oW . andV 2A oa, ~ or = a,yra) 1- ) 0c3 - O "a v 'rAo ` ' .a '6 V,Z 'c s. O.a b7°. c. p—•-. u ,.as,,a U GC.•5 m'0 ., O O u' ;„.-v- O ;I.Cr 0O •~ m O >w, 3 3 0 ,. 3 a,... a m a. :A ... , . w
cd , Pj