Lindsay, Albert Form VS.6L NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
sr 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 1701 County Fult9n Village GiovQr;5,y,,1„UP,....11.
.,...X..
or City (If city,give street address)
Name of deceased Albert John Lindsay
sex male Color whit o Single,
(write the widowed,
Married Date of Death 4/9/39 19
Age... £& Years J. Months. .2Z Days Birthplace Fort -6davaxd.4....N.,.. .X..
Cause of Death EPILEPSY
Certificate Was signed by A. J . D l y'r r i C o .- M.D.
Address Gloversville? N'. Y.
Place of Burial (or Removal) West Glens Falls, N. Y.
(If body is to he temporarily held,fill in space e Glens Falls 4 12 39
Cemetery Date of Burial f l 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 FrAd...Q, K0.4recY a).kY.p.X:S.Y...a.ie.,...tN.,....X..
undertaker (Name) (Address)
the to hold temporarily and i.Il.t.e ' the body.
Dated (Undertake; ergo having charge of corpse) .i. �,p ( r or o se dispose of[state how])
4./16 19 (Signed) YV- #1 •
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.
p„� om � Ntn a o $'gwoo � t'J, t•o " „ Nw .1 < nO' a ..0-- G yin ^^
�' m, a 5.5 -, »,,. ..»,.,, er ° ee a•e7 0 5 ...5 " a c 0 < B'4
•, * F3'alg rn ,: w ,.?w 5m. .°'.e'°q ° troalloo •*tr ye i
A.>� "' oO� '� SRWa'm � °'O' , r, i's0'n ''mem .otin �% w '-,'._-°, y'G�owMbc~s � '�+ N •C
75�: a.:+ �e b o R.' e�1...5, e N ':°°'y F'.O f9 f° O•co v,N o cer
"pa , � » o a. to R i .°o °:�oF;� y " a p �°Q 2, oO' , •. . .,yoo w ., ti. .. 0N p ^I ;C (].�'.• O ,e d < '.7.ep wg N _-
*2 2Iuftr
( "7ir,w5 Z •
bi IF �4e y X
g8 to h 141 " °' •el ,;6meid ,,--• ~:14 I : • °qgn ' EA-'w* ','NonN °9 .N , 41eta! i
i 8. o nr p' oS.No w r'.a w•O o c. w5 S" -'we3y5 - .... t •r
r ♦pi 16 A A:o = `2. ... r, � ` r. Rwa _ i.r.r
+� ' . a i N cou'Iiao "109 -I it 5' ^3._ iawTgpwOr11
1x, . , .tW/4104 es -• a ".' pi.5 oa E • .0oi5 we:0 `a °11 •` - G».5. eo" � � • , ' " ' '� q e o We R . a ,, a ; -
g.
3lr a ° g a a E " 7B �� � a » FQo3 E.mzq.a " B.b "o . " � � _
Cg I1 ;' II
v5. e• :et. 20o •a,.-� '* .""
•
ro- w w •o`4 •os oyµraNyNasN > 1 :
el.loyFao , � ryam•
" a —al w G = 0 "'" ar ap ap , ...+��o5d " wo .±g' " ' C —rna ...o ." 2.x5.gebp, 0-o—R8F, ...,.ng� ^ O. w
•
o T cnoGo CO is ` - ...° 3.,, 4 "Q' ° -. r." � 5. " N <a,m, w m re ,e a C'Of° " � to S'D s E 'm .+n 7 », .eoo •, eE o � r Na ° ,�o -i.I fbpp tl =^ m . m.E a. " o0 lu '--ft, gab -bl ' : .-",o"w " ;'o ° o * •'71a o O NaN °bc NNv. 5• O ryA, p " ., -,
•
Nik' Ill
xi
s."1T 4 a o a�i "", 4y 7^,N.rn ,c t i m ° p. '1 .y ,o 5: „' W " o '4•=5,1- g .a. to 0 e 9.Q
o *02 g—i n a.g• n—t a " •, N o r.,n dv .:^ ,o ,". Ego o - r,p, o— � 'a q r,k H r
C O C t< ., m°a a 0 t.,4 t)--0-o a H a '.ro°r w -g " b'S N � " c 5.a c4 P-r. 41° r.,,,
�� r•f,r ooe► O�m•a NoOM.N'� C�'C'd ee " o x2 w � Np• o
o g S w'g '+ $.2 9 w o " 5 0- o R" -- a—N;- S',e 4 . 4, " w.Q,o 'i v3 . pr Q„ , ca
e N », r9 y w w o r• o V�
p o {Q7 egs y 5''fs `- o w N i," sr'" o w 5. " N ,., N a r �+
■ O W G.N EN• OLe'�m�gql a•C:]' 'r.e� �000 NM roQAryMN oSr'1C�'��.C" zoo
b: .•E •L`s'N $ ,.1g „ ° 9• °q a ryp" m„ FA"mA 'S.Q•., a :(1qi oa �' O y,y
ect
w' 3 I: ]j
q
r. et 'Q nwram0P . M 2 q �.°n, n .eg �rPs o 0.5'm 4 e, g- 2g o.0 .e°..:. E'.ice