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Greeno, Jannie 1•23.3)•10,000 (17.)1))) Form VS No. 62. TRANSIT PERMIT NEW YORK STATE DEPARTMENT OF HEALTH ALBANY w A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accompany each dead body transported by a common carrier.—Regulation 1,subdivision 1. UNDERTAKER'S CERTIFICATE al• 3 lentil; Crrt(fp that the accompanying dead body of fervetzc. 2 n.y „Pinar y _. who died in e_ T`•-‘-.. _o( u (City.Village or Town) — _---- iltaissed o County of lZ nn-Z• -. State of New York, on v�l-0#1,e 2 2 19.,k Sex eTssalf_ , widowed 11 45 Dinned Color or race pf/L' -ea . Age__G..iyears /0 months_2-'Ldays, Birthplace.. 4t-6.' .ac j/7 and Causeof C m Death 3..w.4..:.--e- 11 .�:�t6T gC=-_rTt tmeac _c--s- y ne-v ._has been pupared far_transportation strictly in accordance with Regulation 1, subdivision_ _____as printed'/ with this blank Certificate was signed by r iee/A/s�e�a M. D. Address bleat Wl Date of shipmen - 2 3_ el / v 193� Route of shipment /� _ y' ` �ye� jp i /� : Point of S shipment = 2l J/f '7 r at ; Point of destination of /�-//• 3 -y (Signature of Undertaker) e Date 23 1921- Address_ — � . plying. out words not aD a PERMIT OF LOCAL REGISTRAR lit Din. No. J...irL.S.. Re istered No. Date of issuance r----C y 2 3 19.$7, A satisfactory Certificate of Death for above decedent having been filed and red- ed in my once, PERMISSION IS HEREBY GRANTED FOR THE REMOVAL SAND HIPMENT OF�� THE BODY. (Signature of 1( gistrar) /'L • ocal Registrar of the -? County ul� (City.VP age or own) State of New York. itEr Only the Local Registrar (Deputy or Subregistrar) may issue a Burial, Removal or Transit Permit 3' Detach here and give part above to escort or attach to waybill if shipped by express ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON WHICH INTERMENTS OR CREMATIONS ARE MADE Date of _^ .G 19-$ (lore or Crc ion) / _ (Signed)_.—__ Person in of charge • b (Name of Cemetery, Crematorium et ) -1V 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 VITAL STATISTICS LAW § 379. Duties of undertaker. In each case the undertaker, or person having charge of the corpse, shall file the certificate of death with the registrar ui the district in which the death occurred and obtain a burial or removal permit prior to any disposition of the body. • * * The undertaker shall deliver the burial permit to the person in charge of the place of burial, before interring or otherwise 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 undertaken; 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 signa- ture. that a satisfactory certificate of death, having been filed with him,as required by law, permission is granted to inter, remove or dispose otherwise of the body, stating the name, age, sex, cause of death, and other necessary details upon the form pre- scribed by the commissioner of health. § 381. 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 pro- vided. 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 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 located. 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.