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Eddy, Edna 10-94&5000,o(21-152) TRANSIT PERMIT Form VS No.62 NEW YORK STATE DEPARTMENT OF HEALTH ALBANY Q_ ' A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accompany each dead body transported by a common carrier.—Rule 1. .1 UNDERTAKER'S C R"I'IFICAT Imam m Certitg that the accompanying dead body of U� }fir 0...:/:;, a d who died in the of County of____ _ ___ State of New York onty' e n) ty r Po • Color or race_ , Age___ years months days,and Cause of 3 Death - • - has been prepared for� transportation 4. strictly in ccordance wit RULE *' as printed with t is blank. Date of shipment Ql_c 1 — -- i ber of ule)in 94. '. :1--/�,� rg_r Route of sh' mert fignature Point of d shipmen ''_ Point oft,� of Undertaker)• Dated 1 ' 11 Address U •,I/Yi (l,rf..e 3 6 PERMIT OF LOCAL REGISTRAR Dist. No.__.. -a�7t_ Registered No. Z.J•3 Date of issuance_ — ' 19_1-- A satisfactory Certificate of Death for above decedent having been filed and recorded in my office, PERMISSION IS HEREBY GRANTED FOR THE REMOVAL AND SHIPMENT OF T DY. (Signat e of Loc Registrar). (-Al' Local Registrar of the o County of__. (City, Vi ge or Town) , State of New York. Only the Local Registrar (Deputy or Subregistrar) can issue a Burial, Removal or Transit Permit E Detach here and give part above to escort or attach to waybill if shipped by express ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON WHICH INTERMENTS OR CREMATIONS ARE MADE Date of Z774/t4 )/u�/11/7144i 4A was �--- i9 CY— (Inter t or cremation) (Signed) _7 ( " . r „ . ,,_____... Person in charge of (Nameof Cemetery, Grematoriurif etc.) 1 Person in charge must return this Permit to Registrar of his District within/ SEVEN (7) DAYS from above date. If no person is in charge,the UNDERTAKER MUST SIGN ABOVE STATEMENT,write across the face of the Permit the words"No person in charge," and FILE PERMIT WITHIN THREE (3) DAYS with Registrar of District in which cemetery is located. EXTRACTS FROM LAWS OF 1913, CHAPTER 619i ARTICLE 20 § 379., Duties of undertaker. In each case the undertaker,-qr person having charge of the corpse, shall file the certificate of i-,,,,, of the district in which the death occurred and obtain a burial or removal permit prior to any disposition of the death with the registrar body. * * * The undertaker shall deliver the burial permit to the person in charge of the place of burial,before interring or other- wise disposing of the body;or shall attach the removal permit to the box containing the corpse, when shipped by any transportation company;said permit to accompany the corpse to its destination,where,_if.within the state of New York,it shall be delivered to the �+ person in charge of the place of burial. § 380. Duties of undertakers;interment within the state. If the interment,or other disposition of the body is to be made within the state,the wording of the burial or removal permit may be limited to a statement by the registrar, and over his signature,that a satisfactory certificate of death,having been filed with'him,as required by law,permission is granted to inter, remove or dispose other- wise of the body, stating the name,age, sex,cause of death,and other necessary details upon the form prescribed by the commissioner of. health. § 38r. Interments. No person in charge of any premises on which interments or cremations are made shall inter or permit the interment or other disposition of any body unless it is accompanied by a burial,cremation or transit permit, as herein provided. Such person shall endorse upon the permit, the date of interment, or cremation, over his signature, and shall return all permits so endorsed to the registrar of his district within seven days from the date of interment or cremation. He shall keep a record of all bodies interred or otherwise disposed of on the premises under his charge,in each case stating the name of each deceased person, place of death, date 4 of burial or disposal, and name and address of the undertaker;which record shall at all times be open to official inspection, provided that the undertaker or person having charge of the corpse, when burying a body in a cemetery or burial ground having no person in charge, shall sign the burial or removal permit, giving the date of burial, and shall write across the face of the permit the words, "No person in charge,"and file the burial or removal permit within three days with the registrar of the district in which the cemetery is 1 located. hr` SEXTONS and UNDERTAKERS violating the law relative to the return of permits are liable to a penalty of NOT LESS THAN FIVE DOLLARS NOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law will be enforced. Local Registrars are required,under penalty,to report violations thereof.