Abigail, George NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
ne-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 5.6Q1 Registered No 49
Town
County Village Glens Falls Hospital
or City (If city, give street address)
Name of deceased George ':'. Abigail
Single, married, widowed, married �'
Sex dale Color white or divorced (write the word) Date of Death Feb .. 18, 19 37
Age 30 Years 0 Months 22 Days Birthplace...Z.e.,S.t Tao.ohee.t.er.,
Cause of Death
Certificate was signed by Dr• Frank 11. FalkenbtAry._ M.D.
Address Glen$ Falls, i , 1:,
Place of Burial (or Removal) Town of Que.eneh.nry ` H..C'.f'.@Si....CtSI.... .I1T...Y
(If body is to be temporarily held, fill in space later)
Cemetery.....1'..a..X1e View ce.m.et.ery Val11.t. Date-of Burial F..e..Ll.. 2.1., 19...3.7...
(If body is to be temporarily held, fill in space later)
The Certificate of Death containing the above stated particulars, having been presented to me, after careful examina-
tion, the same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW,
I have accepted the same for registration, have recorded it in my Local Record with the above stated Registered Number,
and on the basis thereof I HEREBY GRANT A PERMIT
to Harold Q. Stafford Glens Falls, u, y.
(Name) (Address)
the Undertaker to hold tempos ' a xlt..e.r the body.
(Und rtaker or erson having charge of cor se) Int move, or of dispose of [state how])
Dated Feb. 0� 193Y (Signed
Local Registrar
This Permit is sufficient for the Removal (and Interment or Cremation) of a body to any part of the State (subject to local cemetery
or other regulations), unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
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