Austin, Howard Form VS.6L NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
ta- This Permit can be signed only by the Local Registrar (Deputy or subregistra.r) of the Pram:.r 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. egistered No-
Dist. No 5601 a
County wrren Village Village of Glens Falls,. N. Y.
or City (If city,give street address)
Name of deceased Eisair ,I^d...Walter. .Austin
m e whit Single, married, widowed, single e Se t<. 5 189iy
Sexy Color gir divorced (write the word) Date of Death .p a
Age Years 8 Months 16 Days Birthplace Glens...Eal1s.t...N.....Y.
Cause of Death Znt.eri.ta.S
Certificate was signed by al!.'.a...DA....M A...E&.L M.D.
Address 0:10 . s,,....T.....I" .
Place of Burial (or Removal) TQ.i i Qt...QneeQab.1d1;.y.,...N.,...Y..
(If body is to be temporarily held,fill in space later)
Cemetery E ne....1I.iest...Ge.oletPX'.y Date of Burial Dec.. (a 19..39
(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 re ' tion, have recorded it in my Local Record with the above stated Registered
Number, ied on the bap. y'EBY GRANT A PERMI
to ..QeIt t44. ' 107,4, /• eM < %v
the Uncle r , ( ame) (Address)
to hold temporal-. t, - body.
(Undertaker or person having charge of corpse) r e e ose of[state how])
Dated •ec .....5.....1.9.3.9....19 (Sign . .
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 ie by common carrier,in which case a Transit Permit (VS No. 62) is required.
, l g gmg t~ i�.�pf toy 1.n ---.80- .-0 r� ,i g3g•�lygo »� v�y� ;iv?. v1�yM S "�,.�. W 7'u5 �f-r. �, LS�''J'r+'p4 •b 0 o * w•'..• �al4;.•16g § "^+ vpi W `-J
x al °w'.. 4.1 $0, ,g g•w •5 c b 5:c ,42- 13 n a"$ fl
�5 " i3 O a 8 A • prg �• 3vp v =.. •gyp
q >e M. ao "g1 w " .ag *2 ^ a.0, _q < ° Fo.aa ° Ell 'S 5i .0 fvl
0�'0 .- .,. ill t0 5 E7 fib o 9. •a•8 Fn�n p;,E•x,��.p,w $' ° tip P� y. 1 5 �p r�-1C6' r "Ott1
l go rig t j si t---B w 1 P.. .0 * Hew �p a T e. nq� gs•�"�i• f�° �r,7—` ` 2:2 ' U �Fij�Orr r�
swue " r,ap .& C. A n b o a • Zw N " w n p9 n �'C n ^ 7G Gi° •5 5.a I !'!IfI .~�.I. w 5'0 q !I1
�r'I
t�A1 C 1 1 14,a4 .-- ,C ;1� �.p opNR-2ryw ry- ..• e'mg.w �r•o„w vg .. kr lk, A•"+f '. m . C`< , Z .1o . " ;'-7.1 5.. 3. ' a a.awti 4 < "p° Cap g• .E x j"OiJ
En
eC� T°i+T't� 0° ;�. n. �"y O O �mi1H1H; 1flIPII
K n gN a:jO ~���° i •A Lt �twf e'+ � w w•�•4 aO " 'i1111
RR' e• " g � 5' R'coo. E',+ o'`� �"-P*ti.� � ! "^_ G�O
.. a " i.it 14 % .a '5.7_Fr7ptp y�p� a Q __ i is i C7 ' ti� y^V y�
iV� -.a
p �p n 1� F//���1
}7 WY O . ti 00 '.T n g.�• w w Ri tr.
.° 0 .ti!t ! !J1
S• e�iet " ram.] �' 2og�r O'8ki w_ Y !, !cgIFE ^ ry.+ •-• 0 r• v.. , d �
o4 4 ao & .2 �B a•s'gw. wo n•s �rN pap r.5'N0-• oE -: ra" +•o " • LA ,. �r E�EZz
'e0� x" A tx.� ..w pia 0e• c:,... ...r .4 E.g0 n ,web ,�- 0.a.ce= 0 r"'� C arr
s! tt Q " bo_ woo- �, 5'aa », ° rr , " i......,.:,;4;i1
ea-•p. " : y e1 • ° p'L ".)2'
O e w'4 O 8 n " M" by T �..41 w O pclair o 4 o r .0•„ y° • 4 ° a ba5'" nt �O�. •�i'.o ge" pO oC -•oyy " a .+,� .. a pp'' .��+�p� Aws • 6 IPIIIIP
`" g " �' • ..bops rs°.r •� A �° 4o< e, ra2 r g•6. oW
5•a oC$ •o `< �' << a. � p < g '• 0E.Q1 w 7 0 5'w• ° �yop5�••C d" o u'n p •*p a r.,
:*C+J$. e'C ? ii•g` S < � :.:i pSI�Q" •e•°,� • .oa."n'w4w7-.°«R$ R'n ..... '. '`l� '+7