Hodgin, George Form VS.6L NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIS: L BURIAL (OR REMOVAL) PERMIT
Lir 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 efter the FILING and acceptance of a CORRECT AND COMPLETE CERTIFICATE OF
DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. Registered No. 3.44._..._..._.._...
No 560 War Town Glens Falls, N. Y.
Dist. � County �Q� Village
or City (If city,give street address)
Name of deceased George Wilson Hodgin
Single, married, widowed,
Sex..Mal.e ColorWhi.t.e....or divorc .d (write the word)..Widowed. Date of Death....DQQ..• til,.,. 19...38
Age 76 Year:, 8 Months 18 Days BirthplaceT47A11...Q.r.................................•
Cause of Death U.oronary...Thrarnbo si.s Mitr.al... t.enesa,s..5yr..Art.e.x.i Q.sc.le.r.Q.s.�..s....7....yr.s...
Certificate was signed lailf.ICGELX.Eiarat G....4... .C.1ia1?man
M.D.
Address maculaziwax Glens Falls , N.Y.
Place Burial (or Remop-ai)....Tovin...o.1...A,ue.enabta.y ) A 1/.
(If hod,-is to be temporarily held,idl1 in space later)
Cemetery P.ine...V.i.eau...Cemetery Date of Burial D.e.e.ember....2.9.th., 193,8...
(If body is to be temporarily held. 811 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
to Harold...C.....Staffnr.d Glans...Falls.,...N....Y..
(Name) (Address)
the ' VAd.e.rtAk er to hold temporaril • in.t.er the body.
(Undertaker or person having charge of corpse) ove se dispose of[state how])
Dated....Die.C.elTiber...2.8.tk1.,.....19. 8.. (Signed)
Local Registrar
This Permit is sufrkient for the Removal (and Interment or Cremation) of a body to any part of the State (subject to local
cemetery or other regn.. ;ions),unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
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