Hall, John NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
(i'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 5601 Registered No... pg 261
Town
County Warren `'illage9 Smith Street, Glens Falls,,N.Y.
or City (If city, give street address)
Name of deceased John ,01 e Ii411
Single, married, widowed,
Sex.Mirlea Color white or divorced (write the word) widowed Date of Death Sept. 22, 19 37
Age 89 Years 0 \lonths 8 Days Birthplace Que ens bury., N.Y.
Cause of Death Coronary Sclerosis-10 days: Acute Nephritis- 1 Mo.
Certificate was signed by Dr. Floyd Palmer ... M.D
Address Glens Falls, N.Y.
Place of Burial (or Removal) West Glens Falls. N,t.Y..
(If body is to be temporarily held, fill in ac ter)
Cemetery West Glens Falls Cemetery Date of Burial Sept. 25. 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 Joseph F. Ragan G gns Falls, N. Y.
(Name) (Address)
the Undertaker to hold temporar. rater the body.
(Undertaker or person having charge of corpse) , emove, or a dispose of (state howl)
Dated D.ept... 2.5., 19 37. (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.
--J y IR c c " 0.G '.1 O a-w C w,S" O U 'R.0 'n'0 "'n 'O,g, 6, 'O '5 " ° '*•< O �.'..'`, O'O (n
q 77'�'� " nro "roT"" nr^. CY " OO.rnQ� " .�7•' OT7'�ntwy0. KwO r •riT5G .o'C •" •-0 •OsS ^+n ►rV `^' 17 Ln m
, � 0 .-.d °3. men a G c " " ^ • y " w " 3 � n w o f o ;, C1" n A pq
y a y w•,il_'O .i 7'^ ti .1 00,D-< ".p' ro .n cm p, 5-ma C O rt•g•OR cm ..art•, ° "4'�'in'. r"n O 4:T 0 R.,n 0 . , A cm d° x b n-a ,o t
_'.2 - n,T" s 0.- " n - OS n , N n E 0.. " w.,G.p,O o n.et. w O y .T ro G rt w ro S< S O ro RCS d m we O r
� ., �T< _ T c?=.w, E., a w-, 0." ° , •w oa . . p'o w r, w p,pi ,--. en a, ro 9 "?-p.4, " >n w � n. C
'Sy 5 P 4. :� �,' w " a, cc N �' <,cj 0o rn c'C_, o »,u n o < n n',O, O o -, Z6.'+ o env ^'7• K'o m
'4.",. m: - _ - n eau°-.•0 O'~n, -`< -' a=w C,-,,G ° n ,..R'a-- `A`A.O.•7 -'n 0 ,-r uw,"v.., O •
^.P,e"n 8,°•een .=•
to •n n O!/f 0 c.
•
tr. = s- c-" o cc -- � w " S,•," ro w= 5.a'4c'• n °os �•r' '*" �` ,
rt „'3 .• OyR7 = _ O ,r. . ,,w¢;.0rt O ND., de7rt.0 _ o " .eo xn 'CiS YO .0 wCn0 i
.gym c - '� T " ro 0 n " c d T< m " " 0•n a n 5 ,,b w ti rt� ° ° w a n A pnp Ci7p G
O'() . %n--z.y aq
.1 v, O . N -, Q.rn s - F " " ..N 000 W O t w Cy n O." 4"• ,•'.,n 0 S,-n •0 . n - m ,6 P ?' k r
� ,.., , ' 'w .•-•=-f9aaeD " nv w •T,.•v" " � °'•*btoo " " y o � w w ,, < pc3 ,5C �` �n m 'l7
c r ° " .n R'' to 3'< v ro cn ,, ' w -•w o c a �n c " " < o a °,"-cr.:^o'r, " ."n n H" n [ z :
.T O t .- ..• rt�'0 O G m " a1 - n .-'.O w '^0.C n O p' a'o w p'P n to O ro G "'= en 7 Ie �I V.Z >O M � ri r
A
`CQ 7... " •'+-S n CS 7-, a Men ;n `t "' 'n .-. " n a,...,. ., 2 OR -." n n 4.
,, 0 wg " Q.Tva.-.w ,e "� .K'c � �� w r U f T. G a " " $ ae
= " " c tea. w o GSc3•e - � . no _" wwroT�; w .°e ' Aa [r]10 � } '
J'^3 G m w O n n tn. 1-ht.... 01 ,..,^ " ro " '+ p•O b OR rt j y C f
,: 9..i w w ..OroR " ro ,,,, N w o •n -- '3 *y --Q. S^ O ro C" " n v,• ., -.p�w Cr Q•n ,•S7� '0.^ S- [/1
E. c..a. "ar i« pV , r LID, nT,,.. noi.•,{,pGG '0-pi •, 0.,M.1 =, c ro " n ., .? " 0 � s--3 '•a RP�An C• -- (
:..? ". = y ..-, •n w ti.7'K O O w . ..r " 7-1-7.. n r- E. " _ N o ro ^'C " .n w• A m l�,{ Gn
n o o ^m �e re z• z xi
.. -c•�R,5'; o•G N 0... O o -.. N.(“n-: .N•p, w n •,, n w _Sr' O.°ow4 O Z w-,CM CD , rn a' o w H C m
v o c -3� " v+ a• - �,
X`"% _. " ,„_ _ " � n 3 A m O n s. • 7,•• < w n' e:o O S O .-,,, o b� .f"'n p 1p G
`.xi ^."-.mG =N 0." a. ," O2 W ._"+ r_ ° u WZort,n cn a" " 0S° w ° c. .m R.o n R ,,z£ „'
,,,Ti ,,.4� eD n O,,.E ,wc, •LA n O en n r ,i N =��n,.. ro• w w G a .. ra ti .yr. n n Gc n " .,"" r3 ,w-..in rn 5'O " A y 11 rl�'0 m n �•
-0tt - w � '"" O �oR » a� oo•cn � y 0 00 " 0-- ° r s R0 � ..f0 < ,d a. .--aA".c � P ►'� m "'°.p g 9 1--'•�►
.•]m_- " p, O 0 c- ,. C"P.^ .-,'C p, rn0 " m < 0 0.-, ,nR7 m "of+C
'rf C!7 ." u, �c rr ti w n a'� n _°_ ra w ,0e rbo� " n " �r+w m -•
a.a 2 fi, - o �° ne 7< C:7 n n A A r4
-xriltAn �� ^-??? 2 N" " w y w n, S" a..O•° w 0.A n N B ,-KW ro n 5 w G O d .r,.'. rn• 7 L,�," a.5 .-.C „,Om m .e � 'n
F r. CD �',., n " .n m -" ro - - 7' ...- = -'-' ro a'en .. 0 ►.r m -. ►�+
:..0 C y , n ;n a " G,.3.w p, O A, _..G. 0-^ " C O e a" G.n �'P^ n Kp' ] "'•-1 �e'^ W C
`j •ro " �'0 W w ,°, O " GG no•rtn G.,..... ..nn ...°� ,ynen Yro rt mSO .-,ea Go _
O - O p CD N :p b 7-' n " ?' O•p p ,n w d v " rn " " P: O 7'�' a."'" G.w ,.y,'T... 3 i
" nr. .- doe co c = z.
,', •n `,Kcy n Trt" CsW �, w 'vsrc _7• ?c''' o.-•.�oR r-,o " _ '..-w '-`tG " c•c " v'0. •hniOo 4 C17z1"
9 'S]>R _ O ET o n S7 ..- W •-.ro C7 " '� "m p' "'•" n „-6"O O O ro Gn y tl0 K
'r• 'C ro S',S CrS Sw to a' 'C •'0 O, a- n T».� C
(17zW n w c� w ri °� c o `° v M c " c� n w a N w ^" " " ° i� °tlo w v-4 ,b C.
7.. ^ ., n �,y w 7R^ !.•,O . W ".0 . bn•-,'O a.en < °.. .ti 'OYW r"n K •*N !j ! II
o n-rot08 ,CrQ n •- o - •ao ,+N• ,' Hck to ,'o-nrnu, w c ,., nac " nC'•Y� m`° -. Z
•
7A0°. s w'� ng'2ri, a.g0 ° "ro N•dmaan � e• a' o a.e " � ; � e5 " 5 " maro � 0."',<c ° ..0 Ptt•a,nan 7Z0 VF
S a a< -•• r�?G o.O Oro " Ort G w ON •= , O .+-, 2• o n-G-t " v q 0 m'O el C2t w^.n pro, 5 A." "O G'v.- ,0 C.y >E 1712.- O h
,e O "•., " oya n 0 -, 'S `< rcwa-^ " ,...`e " ° *Rev' On' '''-' •< 0 "
,n6 73.* :� " 0."7 R et. .w.w ni ❑. y V c^'eo� " S 7�,' `' •eo w C '�.,n., o �•=, 7 •O S Q,ac a•n`< > t A.XJ e, PO r
0 •00 S" n p, ro K ° ro,N S dV a-et en " ,_, A.- " O` w " -' G O O C
M ti " ,, ...a w 'O R. .W n to w b O o re eo p, m G S et, " ,.,.n C .e.g. c�++--
•... n 0 0 r. p, -, < 0 7' o n n o.en " " -O " n s o'••n w uR n .G C F o>F, .`, ,
o- " •• n X-0 0". " .n b S '-' •b..."'" O O N." r* . 0 ,n O O e,•0 w -•Z. e"o :.'..."GI O w I "1''CJ'
ro z- F-aT=ro Itib,o r"n O'K 4 rY, ' C a 0 r. 0-R a. rn 0 *w n rbo < rrtSn 7 A a N•" + 7C70 XJ0 r
" " ,- ro .0 S< eo n ron c 0 „ w n " ro n (n i
a'4" � CI " � ' N° "_•'ao c ^'3 " c � o�� o� aw ,Nnm2 �" �.� ° e•<w 0.o ^� ag �� °
S O - 75 x H O• et ro
J S". 7 rt L1 " W 'rt w 'O a. " O v
Xf0 -_...0 n n o en c a-h w O 5'xw .pre 0 .•.eo O c'm•(,'c rn O ,+O O w n O n =•w O w,0 n S0 m z��
Ctl.� .. „ ="" " x.,,N n.. rn ..•in n ro m a " 0 t 0 »,ee .-r CK , ,+,0'0 " eo " P ❑... m .r.a , a.o = n O y Z -