Gersten, Max ,rorm va. us. o-aovr-w,ovo 1.1.1•1v4ut
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
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. 50 1 Registered Noa.l..C` .
Town
County arren Village 0.a Hudson Ave . „,-.-lens Falls, _ .
or City (If city, give street address)
Name of deceased Max Gersten
Single, married, widowed,
Sex male Color white or divorced (write the word) married Date of Death April 12, 19 37
Age Cl Years 1 Months 8 Days Birthplace Staislaut Galicia.* Austria
Cause of Death C. :Q ' .....T',la.a 'li.hi.2ai.S--1 day
Certificate was signed by Dr Saul l'ai'a — ----
M.D.
Address Glens Falls, N. Y. ----
Place of Burial (or Removal) ',pest Glens Falls, N. y,
(If body is to be temporarily held, fill in space later)
Cemetery J.e:eri.511 GriCl.e.i,.e.ry Date.of Burial April. 1 ., 19. 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 LS.X:.en `1... ai.1:1 .7..a.t.o.n. al 6nS h...all.5.., :.
,m f
(Name) (Address)
the i'nd P r take I to hold temporaries d * �r' the body. '
(Undertaker or person having charge of corpse) ♦<' or otherwise disp•.e of [state how])
. Dated April la., 19....37. (Signed)_.... ... "Y. ...I -
Local Registrar
This Permit is su'.icient for the Removal (and Interment or Cremation) of a body to any part of the State (subject to local cemetery
or other regulation0 unles, removal is by common carrier, in which case a Transit Permit (VS No. 62) is required. /
Z.� ° C v'C ^`., n, ;•L7 .. v-•. ., q i.<-�, r CQ.. vw C C �.-•. vi y v v mwm�;v H'. s. i..S CA.0 w(�
�H i. o.o v 0 0 o m... v q u :c q ,n u m .+ ca• ca«� " ° A x F v p' v 0..,'C.+ O a 6
,n > a+> C.... O ,y.�w 0.--� 'o C - 6.$'0 O v... O 0•�.� i7 v O v+ y, 0• y
{� r� �» a~i O o..`n. o ., p` ,y.y p,C ,n w >.,b 00.0 O s. -C w q v 0 g' v.0 .a v O P. .0
® � �2 .5, tsET' ° d , d . U.. vv „,x ,. a . va° E3.' a G•ov.. 00 .°-' ` o5 °u'-`au- 3v' a3M, aX
w fYi ."i 6- -,,--. ° MI- v -u v w 5_W o v .-. o C.
at v v 0.0 v a v.wy, 4, N a Q,...z v Q� PS d
W :W3.0 �� , �O�,Vow �� > �q� C« O' aPPy .C. nC GovCab, v vC40 "0 1"0f
r^ ,a.0 • v v _m O u. C _ .u, .. :n i. .. , .,b.'C+ .. . Q a'. , C� C v.>.,.. d rZ d
V 4 d d�" ti.« C' �.,w b0 ca ut 0. o ., O v''�.. .. I.b v u O C O :_o*".14;0.0c73 �.'..N. O O ~" °i..L' u ., Lv.. Vo 4 w3 C3 oco aU v.c ° n ,, v v �q ° ,�0 .. 2b'� 'o ° C % '.. c�[ti'7� - �. �, _ > v C_ �.6 w v v'ov .CC:' Q qv•b $ a) .0.� d�LL� ua Q >,wba, ° Cyia.° c'uy.oroaz .. � am""ruv x 3ba
vt.. a v et t
Q T.W'pper , ►•a v v V.- s, -0 ,i V.F. v u N 0 :q y 3 I. �v y , .r.:•o v C C 4, C'" Vet a d'
(� ;,(„� pA A.« p�.��v v.� �.., m."-. a'"i ° .� w O N`C vvi cVV a-. y a°, .o v ."[. �,,� v,.0 •tea$S
cn - AZ d U w _._. . s` •'7` >,•a 7M _, . •EO �.t p.�+.- v - 3•b0C °P,N, O .. O•° h•v' v ,vG'Z7b �.'�.. ma a
Et o,A4i'n ~.0 cva'o▪ 41.4) 'O V.c] q p �, C.0 s, o v ya .. Q�-O ca .0.b ci v s, v... u v ° ..-:'+. O ;Li
.+w 3 •M$'{ C
d� -. b . �w RS m U v .0 pR7 v rn C O.vw.. a
!� .. d.a V)` 'n u v ,n 4+v.-0 .-. x -= v ^ v•.''._. ° C u p d" v C •0 yam-• ..`'''' N b p > A p �•'.•7• 3 .a.
W ..W w. h.i "P.. ,.r 0.-v, fa ct y.= v u v 't. V > .. ° U... W 6--0 y•� ° F, 0.).. C. v °.0 61 y •"� v lQ
1Q ej ° `+•w Ey e, U v ,„ •y.°0 Q m _ o.n >° a' IVU •''is •° v .U. 0 5 a av v u y abe= a,..HW.c
v ai o� Cv>' �,v.e,L0.-0V.5omv ui•.: o" z.�.9, X0x dy >,5vw c.'" v �^,ia... cav _G"'4. up.4LLV)
�W � e v A dZ H C4°-,'C v v v v t •
•`-'• "",G a d u v.v..,. v 3 .v.b v-O.,. � vA. O ° >, v M �b 3wb O � o.c � w `" Z C
WE + o ''e 4.., Sl�� v.° p^ o�� UcCi� gw `n^.Yaoic yeti . v......4 Q � C m CvvOcawC.., >.. Z� e
CL Z W « c 0.0 v,a i. ... >,,.0 0 e;; v 0..� , ca o et y x -." v i .v cCa v-O C.0 S. .� v vim ° a A'it��r k. i
r-� g heaodZ ..a d.� E 'a•.5is .. 3c3m:� :vv .. C .c v ' s. m
p� m .0,.. Q.p 'C v.-q ,C O cJ + v c , Oro v, tv. ° G.° 3.g v v s:.0 °' t" °O.v ° Q P aCi is O w p .o.
,+a O „�,+ .0 y i ,� viU v fo
,b > �.. O ;u q"' 'J•i .. a..'C7ya+ -,.,,A et C �"' q 0 cfsZ Q.0 envv...Q"'■ - V`'''� N E'�'.+ ,n cd .yv ;d s, •• 'C., v y z TJ." '. :so° C ar v^� 3 .n °., G. v^' :•L7C lee i P, y ',414.1 VE1Dt
C ro+ 0, 3 7 p CCd3" a C wv 3 O � «en
•
b y '' dE "' *G„Z Q " 0 H.0 ,¢. "At• tlt,'fn'C 4 C v 5a>,w O 0„ , ° .0b O.cu 0
0,
.�
F.
m�7+
d
. d w , � _,,,Ica...� ' o ' a ;.0 �s 'Fe'-0 ._. 40 a . • o � C •500 o4:Ey ) .1 da .„ ° O ' i, C C S c'S 'CI ° ry U vC X U•yC o•y d „ y J ,,, .,• U Uecv v�o v: a ay �'ocC,,a ° v. C ., v_ co v> a � ,-, z
W Q . c 3C4 , ▪ o 8• o 01 ° ti N U p ° ° �i c C N v• y,?: . v ,Lyao^ o;
uE
10
Q - w o; a c � > y C'�aw cg tA o. u vateN� .o � oN ° pG ah' -[- a.4 Q S 8 '- ovvv' 7 ° 1- .4 •- F 1-. vae .. . 0p aCA ,ga 4 _, wu. LU " O R'• a -▪ � o� . GozO�, no°�, v � vvoC.- � ~ >,- .• � 0C :.'-C. � P OW12 =' Z �2 co w >. V!.zi _ G .. ' ,. u � 7 Iv* C.q.+ s. >, . °i o w C...0 0.� vov ca•Q� c, • .4 .. v s. ti > u • co apWean15 oa0Z � Tsa a _00w roWE1.O n � ro... v,o0G :am-0G ,.* u.F rU* ay..ia•Cp0 ") ttV'FA Q4
, ; d U . yv v '
L- I o a CA, qs. 0UV G , . .° 0 O. m ., O':,: m a
dra'0 d Q O .<4 C vca ov • E.d 3 .`n u .Y:a O ^ 4ca'M.. avcTa.. ..q....ti6.•b v -„ C aib A V ..... 50 v .. i. ,... '0 le•-e. y ,,, ° en vp . ,.-, V .a Cis•� u / ►4 a,ix u.1 dodo a Cv > zvaO v u•C A O.c owaCwu l0 , , do .. O...• 0 ,
OmF •
°„ , . .. ad o � _ o > ,i ,n.c 0 ce• - ee . a g >,a ucl) ...1oo , w14 oN N 0
^^ 5C • > ° � opo vi+ va.« o d ° aiia ° "D,
�
WL i dC ' v ^w rUU �. 1 .� vbM• ° a . c v > w, u
u cA 0 W et 0,
m oo . P,w-f a ° ) U " >, . ov.. 3.Cot a0 ° ca .. ,_,+., 4, pE l°} e(4 ow Q. '', 'aC N v ' C O O 'so .y C yC A" aal a p`.ryGo a ce q caca'o ce.C >4= � aC4 . -.dC 666O 0... , w ca.0 -''bC a N vv ,4 s. it y' ho... C C.., A y= ^..0 C'C ..Lp tC. P, ' . `ny. ., Z. v C qw e, a.L,C u ° w ^' > C vO > O w. v u v.. C C o V1 y m/ z0 � v." v' .. p Po v . v"' ° v, 4-'..wO >,Op o pC A• ' aOX caC1.x . Rd V TTT ' ., n _ vao�+ o G •• Z v > 0 .A 4.)co "> a v con. ao+ is. _ cd C O .. co... m . . , . O � ao °u ' wo. ° N a oa "..CyN V �o„ v•v 0l.n i''t Y M�v oEUi v•cva r .o C •oo bo E °.a 3Zo
W 0, `° d,Ay C•Y „.„ 0v ° ..tiv> -^'C > a.,." ,9T 9, . ..a. , g ° vCea) v s. cYs.v A C v wv y O a�a a. --
t.
td"aC n.0 4-. O ,n , C O C :- 'vq s~ ' O a .av � c" c o Uv ' i 'c°u c0 d v 0 ..f° Is 0, O'° y yO , O.c.a .v., s .,.n m vpNU , C4 .'O >,. g vb s Q . 5 ZV
A (%1 at n H d w r • .. .,.., 0 ? v > v.0 ..e, v 0 0, 0 v C.0 v .. .. v 0 it 0 v el)� C vv s.2... ,,� ..�.� � nao ..•eno >w35o . � aanaai ca.. yv. o0y . a�- om ° 0 . ao . oa _