Monroe, F Armour Form VS.St 10-21-37-25,000(17-3459)
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
Gar 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. Registered No....:_ ..Q__.
Town
Dist. No 5601 County 1Narren Village 8 QVnt r.41 AMe4.U?
or City (If city,give street address)
Name of deceased F. Armour Monroe
Single, married, widowed,
Sex..M4a,E'i Color.Wl?..t ...or divorced (write the word) Single Date of Death August 26,E 19...
Age 13 Years 5 Months 4 Days Birthplace Unknown— adopted plaid
Cause of Death Accidental drowning in Hudson River
Certificate was signed by 15r. I#. A. tarthoiomewt Coroner M.D.
Address liens Fall s t g. Y.
Place of Burial (or Removal) Glens Falls RFD
(If body is to be ors ly d 1111 in a ter)
Cemetery -We s d n s F'al is Date of Burial August 2 9 th,� 19 38
(If body is to be temporarily held,fill 1n space later)
The Certificate of Death containing the above stated particulars, having been presented to me, after careful exami-
nation, 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 q e basis thereof I HEREBY GRANT A PERMIT
to rville N. Collinsl Glens Falls NY
Undertak 'l'me) Inter (Address)
the to hold temporarily a the body.
(Undertaker or person having charge orpee) (I ve or ther [eta ho )
Dated August 29th 19 00 (Signed) '.
De lm 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.
r- roow »w 'N .N...En0n oC woogn r'9." 'ro -, Nw -, . no a ME• d»Htn •....
r�.� n •$ a ^' a n M M... M M 0- con rD ?n n O •+. •t ,a•. a' C7 d
W.,t p p•, a CD A<OD C .- n .� w....a.0 r+.-+ O •,Ott w n Vq a •Ci n N O O n a• >Cr, 1�1 "0 U? p, trl
�a9 Dp nn ,i0 a ot..� rDw £.r'•vn, 5 Ca.�n. sa•n `' se gN'-'$ N'22,8 -••,c •n •, 0 C n rt� .. y
7: A a+n�roawna .. Nw.� � � nna-agn� w n < yQa; � � `trD� U1 IL'r1 C7"w 0 * 2
— - `9 w p 0a apa, '5'0 •6a".=-.. cntn (1v, w CDwp' ao°'�..:5.0n O .2.7 4O ° d
°3 •`•rr�� tn •p^'.w < yoo, N `° Oy'y rDnarw, ° aM.tVO�� �.� ^ 0O�•ranDCOw ., ip � 'a� .vyi 5.a.7,,.De 0pv 0
.°'.H °kgEdn �o " o; aw ;' • NO `D `nD� �' ^.iv-fDiowcaD " � � � a *',�� °b �• Cr! °� .C�la `� "�
'o na rD oaN ., w5 * t. � La o
w "CP•H °.., n5 Mwa ° rDx ,° 3o n oo. -r.* '-nN ° on < 0Yg . gpZ�n
a-, .. nfeSN w ,. ie o *ao �ovn a Qp.< a -, na •n tD Hd5' co
"OM
Zt °•O s rD a- a•._o 5 0 '' < c. *o " ;. .. n �x�x,w.g •0 n �`< °9.° Ye
O1° Z _;;ie :' ro .rrtw — wK »� �,C, HRyte•�o w " `DNNN `rr' 'T»° y•»`� � a•^ D� .° t/'"Grr �.�
(n .t a•'•n cD ro RI' y
r"0t. rgDz�4� 5.= ettrDa'+ a.7Nat 24Nrropya',C,,`Da ' � 50rw, n n •n, m. '� ••5NSi K �NR ►Cy�tlf
o p, 0 pq 0 C•O n it p.p'r;0 ti•a•q rI w ., z rt. 8-0 a,c B '*g•n p.5' F2 8 n w o N .�A •ti a z"noo -2
"'� F. N'ro C .y N v, iD C ', ?'.�' C n .w � O .� .'.C ., w a 0 p •, m n•'i D"j
e S7 ..cD a'tS a n ro M e °'r a;.;Q•a a.'w�..• •w .* •», ,rD`< :. a•w < K "� ».a y. t/1
.o 0 C 't ` actCawao °,a e 1- ,o » aw 0 5 N'Pyow .anN5a-o .w cn Ix g A�
ti•'s1 m Z 'w' � w'n'.-f9i CD c.0 .--• 'Z ° ^ o° .''n.a.Fr r 0""P. ' C" a•N w �0 F r<o � �y e•O G p'O w g m =V�'OTJ
d O -•O w iD O 3 f9 w AI. a° va 0"co a-...a......?; P. N : 'a <�..
D �"" „�5•cD� w.. yoM� aQ.^'q ,.;� •xo ?' ,..onw wnwrDa, nWO O 0 Ill a Ct70 n n Cn
„`F. `< a•, cXD E o M ,y ..C O n :: 5 C •, a;'+ a •=a W w n g'a' ,M.»n ':— ��`•pr' < n K O rA
0Hg+H ca° " °:O '' a+= 0_ ggr(on - a, `" OOAN w.nrp ; y0 " a.•.naw 0 ,n, ..,.fDO n.3 w.wty0 c .°n 2��1t
p anCon as Prow a• •, a' n N .^ann o rDy ° O � D�,, 0 ›. 4 .- r`,
et Cl.;' c '` a•° ••;;, rbD=n .... Co
Irl gr8 8°R aC rrF.° w O n 'n'DC 0-, aaw A �.rf.'� n d'� E :HO w� g. . O'.ri0
A N ..w .C, ...O ,-� ,O,ti f'�D � `� �'a• a3N•O r."fe CD
lb
O't'i, b aN w .. NP'�fJ"'anrDn •< Cp • a ^' ."�'„"r
m_Hg4. 5'aw.'urra .yaa5o0-.-.. ." :".� .0r<D ''O � ao N < 5.----1r- CuwR`< a �ga'" �l Ca .i.� tnAt,�,2
�} to e .d a w a•p, N',w.y n O a es. �<<cm a''1 •°t M.,.f. O N .w�,°3 n n ran a �a n .Ni,•a, 5 w °' O �' A 'TJ"'J q .i Y ..., W O
-O O p, i z w 0 .4A)_ ...f9 'rD a o •-t fD {+ a .h (D N N�' C C N'C1 r° "n (D 1.n.. ° g g 2 �.�y
"j a - N O r9 O a 7 rD CS C� a �+ O /r
"n ff. rDa.° a'....�' � awo � fD �•5•• rDnw �' •
^* 0 = ono `0 -.1a.w � O.r g p ;; �, i"'
O M� n'.rf".a.n,oa °0 0 Own •sap, an ez*.0. sg''� K y <b � ~'M�� rnD .acrro •wit ° °-w .fo A .. o re Cr12�
•.sZz." gn =•o 0el.CD P.x••°••;�� °oTh on � <° f onno ..Q'�wp•allo<< � •on0.4 K '•oea ° = ' H
rots,-ni fDc-w-a ~ ,..o •' oR5', O'° �s�•"° o:?o':: yao � p.�0,4..M=w `` 5' txo°G+y 410, * M a 3,A�i0
O n M Zrro •,..,?:a•., ,..-•• ; rD N w m •o a' w •. Q•.-•n o rD •, rD ..•n ry C Ft. a ,�' U)
n arD N nn .. ,, - ron '.0 ,4 . w a t-3 n
'ylnF a:� nOr5o Qn 0� ~.° �7 •n, v° 7.1 § , a, 'v�i •n, C'C 'co e_ ,a..nCO, �.b .a? En O �°y p• VI�7.
.1.3 n"O 'aMN � ax,N-.raagorre N ° ?5' ,BCD a_ 0'w .+ o �:o ^ co 0 . 'R
o re ,ny •, r, n5.C�•� a .1 ~ nN O co cc '''n 'Y 7g, ° ..ziD -.nCT*J" aN.o., D"3 0�p O .Oj 2
»a0 �'`�`° �'`' � $ °``�°wo ° a : ;; !:
� c . °' A ?'..00r.,. NaoNo " •, •c1 %' a. N ° wC , .1 (DR r m w_.. pi.0, n no , �..e z .`fit"
�rr�n .. rs.` on , anoa' pq 'w.a�r�,DwM meq .< a., 5a'•, C •5 0 •- a o d XX
ro ar .. rD ro to o . a-a o;so a n cr O N a f° w .w.fD w 2D n n E.
0 a•...," O s ,,,•►
A A Zn • ..., .n 0•w-w n O ,N-..'."..O ra. O z`G•a0'G T*S'.n, `�''!D * CD _ N rDro a < •n, N "^` H..tO day.•
O w rD n w M', O a ,...,co M� `. a (D N lai, o a p'g.,,.''*w .N-..w.-. ° a'w �. `.
0 0 •, 5 n .a w'w N p�, n'a,o w `' �- •°:co c_'d'+ M w o a•, w a P. e 0
.. r nCDDO'...a. .--• GOa ���'� •°iaro a 90r° On ,OtnNn0nZN .Oron —� C -
3 O C • s< n 0 a• R N N n C M.n w o •* ° a o C°
203 �.»c� awo � ; -brow. romwNa .•nw aN � 5 nay �N �'c �.00;; �`° pF 0
'� PJ F;,.�.5.- w �.a a•n a 0-wi , .5. < y o °,.. Ct N C.< N ^~ Cn
Q.M,°n D r�D a'.W? am w.5 w'G.,c'Ot cCD »:"e =r�D = 5.W to .1 p-. w.O O.=p, Q p, a•..•CD, 0 O.rrD = `''a 7p' K