Garrow, Ida Form VS.61. 10-21-37-25,000(17-3459)
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
M' 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......-__....._....._..._._
Town
Dist. No 5601 County WarpgX4 Village Glens...Falls...1iosp.1 ea
or City (If city,give street address)
Name of deceased Ida Garrow
Penal whit Single, married, widowed,
Sex e .olor P or divorced (write the word)..mar`ried. Date of Dggath....J. 19..
Age 58 Years .a.a. Months 8 Days Birthplace Glens rails; N. �. 38
Cause of Death Acute Nephritis—? cerebral haemmorhage —4 days
Certificate was signed by Flo y� Palmer M.D.
Address Gl.ena...F.a1ls.,....11....Y.
Place of Burial (or Removal) Town of 0tl4snsburj. N. Y.
(If body is to be temporarily held,fill in space later)
Cemetery St......A1pk.Qn.auS....Q.e letars Date of Burial July 5s 19 38
(If body is to be temporarily held,till in 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 on the basis thereof I HEREBY GRANT A PERMIT Glens Falls, N. Y.
to Seward T. : other
(Name) (Address)
the TAIAP.rti410.1" to hold tempor ' 41 er the body.
(Unktertgker person having charge ph corpse) n move,or otherwis d ose of[state how])
qr
Dated July F 19 Jti (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.
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