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Lee, Robert 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 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.. 35 Town Glens Falls Hospital , Glens Fa1�.I Dist. No... ?Qa....County lT1� Village 1? t or City (If city,give street address) Name of'deceased Hobert F. Lee Single, married, widowed, Child �'� uar '�0, Sex m Color 1 or divorced (write the word) Date of Death ...,........ ' ... ..t9 ... . Age.. ..,..1 Years 1 Months 29 Days Birthplace Albany1 Y Cause of Death Septieimia ? type. Otitis Media Certificate wagsigned by © ill. + '. Canal 4 Address G1 ns airs, " Place of Burial (or Removal) Town of ,ausenbintyy (If body is to be tepipVT x 1y� ll le s leglxy Februaryiy 24, 194 3 Cemetery Date of Burial (IL 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©ci tllg.b attyo thereof HEREBY GRANT A PERMIT Glen tre e t, Glens Falls, N Y to the Undertaker (Name) to hold temporarily Int areas) the body. ( ""t- or per avi charge of corpse) nter,re ve r s ose o!jptate how]) Dated ji .t 1949 (Signed) /' � � Local egistrar 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. c=nVii9, °' oa5: 4• g•n, .9.*P$ °:»,°,EP 5"Of''. ofa. f''. �a•Ni2S.84r5.?:go � G •ym, 'a'..� C � , a a » tiov �'.�ova � � o err yo "0 a M ff n .„ ° a tD N �gq O• �+. M b•Oi n n v+''-•° �p ".'� �y p fP ,a...> n to a'• w .~y a ..�w p:CA o-et �OffJ.t9�•gQ COY w :y •.r "t O.b �fro f0 fD ." r°ii OQ� ig pO-a 6' 1Z xa '°I W"'��'dG .Q.C'C [~n �•W Orr** -A �N f) C [<o w 0,50p'� ..1. OQ .0. OfOO - W0s I:i re g O V 0 'II a.(� y e'<5'< rip 0 O`C„fc. y f"0 00•', - n i •.°•,-.4 a.-� 0'� 0 OR fa', L'•1 ,-.0 0 c•W p,V . 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