Finkle, Jennie 1 N
Form VS.at NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
ur This Permit can be signed only by the Local Registrar (Deputy or subregistrar) of the Pnal..tr7 Registration District (Town,
Village, or City) in which the death occurred after the FILING and acceptance of a CORRECT AND COMPLETE CERTIEIc#,TE OF
DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. negiatered ill_7-' _______.
5601 Dist. No County
arrenVillage
Town
Glens Falls Home for Aged Women
or City (If city,give street address)
Name of deceased JenAie 1140, Finkle
Single, married, widowed,
Sex..F.R.p.1gColor Whi.I.R.or divorced (write the word)...S.i21.gle. Date of Death December 9 , 19 39
Age 1 Years v Months 4 Days Birthplace Bolton Landin.g.,. NO7 MI
Cause of Death Cardiac Asthma 10 Dtlys-Myo.garditis ehronlc-.extezic .0.0.1.e.r.o.sia
Certificate was signed by C. A. Horton M.D.
Address 120414 Fle.14..0 New York
Place of Burial (or Removal) Ti*-21 of ,ueensburyl New York
(If body is to be temporarily held,fill in space later) 39
b 11
Cemetery Line...V./BR agtme.IY Decemer Date of Burial ° 19
(If body is to be temporarily held,fill 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 Q.exza.r.d. .T......Eo.t.ter uiens Falls; New York
(Name) Inter the Und§rtaksr to hold temporarily and the body.
(Undertalt or person havinz charge of corpse) r remo or e se dispose [state how])
Dated ecember 111,9 -39- (Signed)-
eputy 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.
z o . o � xo� $� ,. 0 tin~ cnp a••, ^ ' nc °'.' a . s
v,i• �Ma.1 ^ �6°' oi ^Og� � g� ^ r, .mP•-^.cgowocgg -. aaa . p vacwo „.ppw . U
0,, �o a o »• *p'o n"^ � �fi+�•6'w'$.w e p 4n�o » bye "i°ill C6• • "Ot'�
Mg
i !: 4 9:,Wilmalg'e-=.° IS a 4 g_ n .11.0 2., 1 E.,,, Es.4612:tea,, s.3.
// N's Pi
h• g� X �=• ,< &ra a p c y 5 0 w p ^ 0 B-- •off 5;Q.rm g A.'� p Cil
8 la%e.C'e o z 4^ o 0 .-. 8.-0. 5..,,o.•, ga." o" i _g 0 2$��' a Q"• x
O: ,^ �-�". p�pll ��y"� Wryo �� �5+^ � ^�ss ^ yr�.�y �.� Q,c.c?; c,,"• �ra� O SS �gi itT1//511)
v PS I ...r OM A p 0•M ^CT 4' 01 (y 1 ^ ' a w.~ I t•tj r j�
a d 2.-1 f. ^ ^ ,d u, g.,O O ^ m n • Caw T ^ 5,8,.. ~ 4 O •y 4fit�_
�' pS•6. ▪ ao �^...04 •o ^• o p•w 5' NAw'�s ^- � "Io '"9' A)+ ^ 1111.� ^ ` w ' 8w • e ai. yy
"8.ig•
w E.0 ^ -0.5. o o ^ N p e, e, % = °▪ e nee+ ' " .�s• �•p-'o'e •o R �° - 2.s ?, "4
' .94 > 3
' '� � po �wob n ca b � = 'Lg ^�.ggo �p' ' � a. 00 ��' • p '� ,AE
,�, � fir., ,� � "'"ui m-f�4 .+p �! ,d cCse�i n � �.�rt O�w• .n n aC R.'', r..p•� Myi �• ri_• • �i tIMO
, ,y l ^ y• "� g r.-..oa• n ,o' H o E ,7^', 1" ^ � _gx" ~ ...0 .*^ ct a.QE41.9 w i�(/J o ^^i • • �.y
o •�. A ^ ,1 i! rM ' 1
„O0 .A G4 ..^„•"i .�i .J•0 fit
p ^ 5.5-� . O' f� Q.. ...] rJ
p' w "+•6 'w ^ 5.ryD E:—..� .w... ^ • j$og O; 0 ., ..t aOB ^ 7. .w V1
~ R ..+a .►aj. ••t C. ^ "* O co+ p C `•G ~ ^ t9 � O .e..^ L�.'G M
0.
A p GM �..r. p pp• `J•p5�r' 'C7 �i ue 21..A.1. .+ �. ^ O'• .O Gam.. 'Q co
•egg hi S. ( O
•g.7- g.s / L+ C.43:. ,2, R•O tA'i ^ 0~F O Sp. C0 - iz z, O.B.P £x' ^ ,g 2 „..8 Zillt
v i LV°.