Ginsburg, Rachel NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
aiir 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 WRI i i EN IN DURABLE BLACK INK.
Dist. No. 5601 Registered No. 183
Warren Town 24 Elm Street
County Village
or City (If city, give street address)
Name of deceased Rachel Ginsburg
Sin marri , wowed,
Sex F'emaltolor White or divorced (ari e id the word) Married Date of Death June 15 1937
Age 71 Years 1 Months 5 Days Birthplace (via , Poland
Cause of Death Qt..Q 'Oflal'y disease- hypostatic p.n.e.l o..ni. ..i....I1Ayfj.G..ICI,.1.a, .....failure.._............._....
Certificate was signed by -Dr. aUl Yafa — 1VI TT
Address Glens Falls � NY
Place of Burial (or Removal)...TOWR of Queensbury
(If body is to be temporarily held, fill in suace tat r)
Cemetery jewi sh Cemetery Date of Burial June 15 19 37
(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 Loren ,V. Singleton Glens Falls NY
(Name) (Address)
the Undertaker to hold tempora ' and Inter the body.
(Undertaker or person having charge of cor se) , ov , or o ise (state hod)
Dated Rine 15 19 37 (Signed).
epu ,y 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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