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Viger, Doris Form VS.61. 10-21-37-25,000(17-8459) NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT sir 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. 74 ._ Town Glens F 11s Hospital Dist. No.�.$Q �71� ..County a�� �� Village # P or City (If city,give street address) Name of deceased it rias...Yiger Single, married, widowed, Sexb,¢ a .Color Whiteor divorced (write the word) Bina1e Date of Death MarCIL 11 1959 Age 1 Years 2 Months 21 Days Birthplace Hudson Falls* N. Y. Cause of Death fP . #t Q.b. - 5 da.Y.S... Certificate was signed by DT.a...35'.at7.L..Tata ,....._. .. . ... M.D. Address - — _ Glens...Fa11s.,... ....Y.. Place of Burial (or Removal) 5t.►..., p IA.Ju3W.a... i.BAl.a.}T!1.a13t...Gleam.Zaa.Z.19E: .a. .• (If body is to be tea orari y held fill in space later) Cemetery Y a...Alpa El#...Q.enta Date of Burial Rank:..1 t 1939 (If body is to be temporarily held,fill in space later) The Certificate of Death cqntaining 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 w f ...L...BA.ti.ter Cu. x3.e...ra1,:s a N.,..L (Name) (Address) the V adArta er to hold temporaril I #tor the body. (Undertaker or person having charga_oocorpse) move,or o dispose of[state how]) Dated march..14.F 19 (Signed)... ...... Local strar 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. r•.yd t"�" ° ro.,15.0 n, Mg, w »,°,� NO .'srow " < nC a .", ,�. ,t �j- l - A w „P 0 .G. ��Z i,. r, P• - ;get co, 4.�0.1i n t0 1-1i V P.)ty •h 0 ar ,'4.e y ►C R+� R o z A 'rJ ' 0'' ' 1.a O'< � y 00. p °5,0 o•° ..,V^ ., C'- ,, " in �Op•- �p R S 111R sy w 0 �w '�' ,n p '�.a°` 6 m.�' ;r N � .� �-`4 4ry3.4�y'��S��'A'�Jf�• 01.RQD C°S CwJ `� y`a .7 0...0-A+ ill 3 _:�'1� _.vr [yV�y .., � n rt ^ao Co S. § � ooze ap 1 b °rvi :o. 15.21 wwo l c,rowe », *0F., r'vim` -5. Erx5.'n'ng° •�,p &4�5 g!, L=f t*�w •*a+ =� wK ° ° pi � *oroo •, � n " rtw•�.a0 m .. �nOM : ! ii4_I 4 p, � � .,,z.. w,R•a=° M W " �° '* G' a`$ .w�^ [• "o 'w'�'», a°OCNCL p•O a C Ps t aO''B A'a M a'—< M 'rill L. xG Anv � ° ro :: RAIL 5 5'W° o = .. ..ti x •w, a Mc 4.:4:Z-. ° O Cc4 14 RAIL *s•°,ig•'; p,7 w K W/ g 1' es N • gl.- to ro ce �' 0 CD E,p onrs 'a+" aa '.-ow ^ o 1.50w ° erg•gSji ',•" wp,g.0 a.'Ym O "i1 704 ,..'a'G.OK fC O n°+s" f%D p O f% ei••'-'��a•N C.��Y .mot a" .-g 2 A, A S.€'.6.4,w n st; ..'+ rte... ^ ZOto �Ctrl "��i.�1 �� � y o R ro w•�o 0 � �' � y m '^ 2 �► �s p �n r..A�,*s•m ', 8 .l �"l a y �1.k., pI. p wia`oa �w�o �� ° �' � -•a:wc o ° fp a°,a "' as*, °•' - �r �. �_ y�'� aw rga9:5 9 as'' w Aro •. e'a.fn o.y ro �' p,. $6=� $fin �" � �""�' ..o '1 o o w `� 1, x, © O E: S w 1'2 2'"•r. 1 p. M 0 cCn`�W('1 .°e '",(�'• O in W l'obi ' EL.w w'Re ii!Tt " _ Or:i gg w � » cam 8 f16 O--°'N ° ` (s714'TJ •sq� (�,ni g- E° c ° .f o" N .g, o vi. •ro o Q:w.== ��x y A o '°5eD ,p'p", " 5.CCt -5 8' Y ., 1.-. �y•FFC7�y!"� 'V i' n OQ "..C• rt.�'.." " N w vi to r." 20. fD n 0 e-p' ^ a ii jr , V Mi O 2 F. mfi.85'm5 wwgn .*° ronrco�7� g C grtacu�, 98o as; �" .*.�' ° �'� 9. •fi � .." n0 test, C ro ry ' y ,, " a�Ja u,n C :+to " ° a� M r,w O �• i m ».�, c, �or � ,fD, � ° " " Ort " iS�• tea til oa �Cf co �.-ecow ,.,fi '1 Ca °p :;fD r:•+'te � � o � r9 �•eoK�s''- artC•,•t, e] � .�,' S' Op 'e " w � 0o wa " o-o p rroo� �' rc " Afiy 'e " pe�'° HA �n „'3r., &' o to �.. oo � w'x s+ro to " o °'� w �, a� a o CI 0 w•tn " nro0 wok ° 'a "",.o'r"to " " o • � � �..° � " ?r Aco opd y 01 0 cp •,q 2, w'g 4 cco 5.,, p,:t ,T O 0..., w to,, p CF,t (/� +„ ee fi s i $ wrro = F.:p hwyR• £s•a.45.5.0 „�,y O .c) —Oputc n .., ..,yro . . A wrtm fr ipp�prn O v OR C" fo .-,inCM " 0CB " tr Oe5 act �►�. E. '. ^ Oro Owe CYi,.. W C. ro � O " + r.^' M lroCrt ^ 0 -.`' 'ya' ..'C • IAW e rzt N�y N .vy.g O y as M..«j fC •O' 5. w .7 P w ew,.a • g-q S •�..0 +'°` :' `.^ - N MtViS ''�ANa'"'°° E3..aO4ntt g1'CO• 'Csww O > = I• ih •Ao E9' � •tao aw w fp g wpy '.KS4. a..g go n. -0, u, .0 .-, �yC�� �C��.' 0/ G Mew 04°.(M Po O°C 2 '~14.1,4 °t Poo :.:�' C t�o °S "S3'OQ '4.°i �o�P.p'0) 9' I. .°i,Ri °7 P•c°o p "" A