Philo, Mary Form VS No.61 NEW XORK
;,, STATE DEPART ;;OF IttAllit
ALBAItY-
( OVAL)i' IIT
f$ 4 nit can be signed only by Local Re a t rar)of tine Primary R
awn `Village or City) in the dea
z- P E�CBItTIFiCAT TH, L Y�w of a
e;4., 7ila
f.,¢ teof � ;:t
orr
f iffrif- � �_ � �' �a'� Da-to f. i
3E {); DE T ° ,
fall
*t" been In'w to me contain to above sta Q mculars,and, t ear'ef exams
--Sc14
tte COIVIPLETE, 7ii SATISFACTORY AS Ii.,, Larne for r 3 atien, have rec ded>It, rt m
satedP„���ss,I�,
tirabe ,antdt the thereof RA`
f� W��� � �of aj bf-�sfatO
«,T91 (Si
Permit is t.for the R al(and In, ,ae to ax,y part of
State (' iect toloeal or others r Permit.ns , r ' at what
the above Permit intact belincluded in the Tr' f
m 1e su, tzi• i
—O �fi QF VON OR ' N IN
C ) O1
41ONS"
Date of_ r tF� £ 4 � 6' ��'ru"r
at
Y Y ,
"R r:Sa
(Person / ,, ,. a
)a char e r .,
af
6
' Person in Charge r4,, urn ¢• Alt t , ` ., With l
Ss VEN�:(7)DAMS fro' e a t. ,o ( 1 e a
TAS>sR t$TGN' .w 3fe it e Pit '
t weed �` o Per 'berate$ r �: ," ids« ,
DAIS ea1a#rar'oY 1Pg ete is
EZtP-AGT$FROM4 w
>f ft7A iRes of in rtakery died e oC the corpse,shall tie �ti$ dlath t r
eliati t tt whf the dead tom'+ - :i> resaewai
tellie
it paiqor to say dieposltion of t -'L d'y. .s * s+� o t
, w Il deliver & permit a cdrp err sl1$ c3 b
Atha.boa urrai .uig t a sad atta the rythtL„
n •. ajaatibil �---�W�,,
of the place of burial. .y '�, -.
'llettlii
#>589. Duttos of undertakerii If Wet'
meat of ier,,'lisposition of the body 4e b th e w stars„ word
q or rg" ^ permit may bQ +t:a-to a,statemes t; bg
&Tentrat�, his signatbve that a sat1sfarctory certificate of 4eath}'I4%
been Sle4 with ime as rectum by, #r permission granted•to in tenloue
tw"dispose nece sary of the body, ct b eery,agt,coal�o
and °morrow detsils-upon ptes- ` r S' t64
4 See tweet ents.. Tai perfon in pL say 4+tti. *welt
terhents or atematioas " made,shell 1 artux.,t fnz�wet�t or other'l
41speit 'sstybmle un it< Sus perwa by.,-4tId or '
the eta rat... tiofn.mrrr hesr�, shy
wawa
` tra of b+sPy+ et seven kbe
i dace of a „,ire.on she pep a ere, a11 burial interred
or otherwise ,snore premises of lasari in each elw$,
and name�pd adddec: pee p rlace of or
L# n» . hiFh` shall +fit afio time,i
t t
open to official lave pp vid�th the 0r'
4� charge of the corpse, when burying P >tt 1t ot,lery.or
having no p i ,shall, dal 'removal st givl g
the date oP our*,am write acserlse tb face of tbe' the words •1 0
' parson in c and e. burial or removal r te, tbtse days w1%h
the registrar the distrte whi4h?he s l}vwte&
�� a�ndd, k tw fe iVt,.to.tha
turn of are rage ape of o EYYE e e
fens astir ba°Veils AN R ,+ r ->t49 ale : 'too* c
t'' Violations thereof.