Durfee, Ralph (2) Permit for Burial, Entombment or Removal.
Issued to Ralph E. Durfee
z County of Rutland ___STATE OF VERMONT.
0
o Town or City of_ Fair Haven
t
C Date of Death May 28th. .191i7
F Full Name Louis Kaplan _ - _ Age 50 8 __Ili
YEARS MONTHS DAY[
eta Place of Death Fair Haven, Vermont
- - - - --- - ---
< z Disease causing death _-- Angina Pectoris
(' z Medical attendant George D. Parkhurst
F 14 May 2rith,
-g- Proposed date of burial, entombment or removal_ .__.— itir -
a41 Proposed place of burial, entombment or removal_ West Glens Falls, New York
z
z What cemetery or tomb West Glens Falls
to gi Manner of burial, entombment or removal Interment
am -
0F
Undertaker___ Ralpp Durfee
- - _. — ---
aAddress Fair Haven, Vermont. -
a
A Certificate of death (or removal or transit permit) having been filed in my office in accordance with
z Removal and Interment
Z7 law, I hereby authorize the of the body of said deceased person as stated above.
Sa (Ou.11[. ENfOM[MW[0 REMOVAL) 1-�/ \yam/
Totun 6/uOly Clerk.
Date May 23th, 19n57•
This Permit, if property made and signed, is authority for the burial or entombment in any cemetery or tomb in this Sate.
D t13Ea3-c
go 0
O ON ; " ti 3 e tt 0
W 1 m go, °D m.0"
3 Y ° ca. 8
'8
p $ yy w
o GO {c.:7 wot2Z1 ° 3 °
U .541
<. 2 a +ygym .- s5 °
..t 4 ca F" C. ol ... iT Y•a9
�" aW P mah. m i c
a .: 4 -.1 .5 . .aWw c ,a - . 1c _ y a a e ° . . cE g
° Y Gv Bc a B
-
COa� 9 2sd 53
—a-7 a - - e----.._a- — _ —_
i
3ti9 Lt�7 2p Vt., 1937
rtb
5 a 3 lieq lQertify, hat I did, on the day of 19
'a deliver the body described in this permit fo
I E Sexton or Keeper of. ._ _--_ Cemetery fo
•
92?
fk 83 a Signed-- 4'� &iQ It - / �--+�
(saes nu.ben.
a a0 &a� Vt., 19
.4 w N p.g°
.c4 I d M
a 3 ilerebg Certify, That I did, on the ____ day of
i p 19
t° i (ditto what disposition was wads of tho Dod/.)
F o. G the body described in this permit.
Z°
Signed
(at l -Ha (Salop.or RwwTJ