Snyder, Charles rorm va.. On. 0.10•,)-IV,VVV t1/•/,G,/
NEW YORK STATE DEPARTMENT OF HEALTH
• OFFICIAL BURIAL (OR REMOVAL) PERMIT
our 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. 7
Town
County Warre..X1, Village 31.....Crand.e.1.1......S.t.....,..Gi..ens....k'a1.1.s... N.... Y.
or City (If city, give street address)
Name of deceased Charles E. Snyder ........................................................................
Single, married, widowed,
Sex Male Color..W.hi.t.8...or divorced (write the word)..nlarr.i.e.d Date of Death Jan.. .6., 19 37
Age 50 Years 11 Months 5 Days Birthplace N.R.Y....S.tat.e
Cause of Death Angina Pectoris
Cifcate was signed by Dr. Virgil D.. S.e.1.1.e.Q.k,.rlea1.iJa:...Off..i.cer .._....._.M.D.
Address Glens Fail.s.., N.. Y.
Place of Burial (or Removal) rest Glens Fallg., N. Y..
(If body is to be temporarily held, fill in space later)
Cemetery St... Al I?hons. .s Q.e.m.e.t.ery Date of Burial Jan ..a, 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 S.T....P.o.tt.e.r Glens Falls, .:._ Y.
(Name) (Address)
the Under•.tals,er to hold temporarily ;:- - the body.(Undertaker or person having charge of corpse) �, •r otherwise • spose of [state how])
Dat�'d Jaz.1.. a 19...3.7. (Signed) —... .I.... -
. .
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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