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Scoville, Hannah 3-8-10-10,000(21-3207) TRANSIT PERMIT Form VS No.62 i NEW YORK STATE DEPARTMENT OF HEALTH ,.... _ - — —- ALBANY --- . EZ12" A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accompany each dead body transported by a common caitier.—Rule 1. UNDERTAKER'S CERTIFICATE ..x 1 Thereby certifr that the accompanying dead body of aduirah co° Till e 0 City Utica who died in the of , cz lneida (gt,,,viyebIivikry a.,. '5 County of , State of New York, 19.2C1 Sex Femal...... -0 Whi Color or race te , Age 74 years 7 months 13 days,and Cause of .., ni Chro S. Endo car i:lit, sc--_ —-- 1 Death has been prepared for transportation ;: strictly in accordance with RULE 2 Ru as printed with this blank. Date of shipment Feb.,3,3,9 2c.... 10 19 , Route of shipment r.,4e'''11.b.^of n. Express Co- Point of shipment ilt i ca, I\T.a i t , Point of destination---/, ns F1:1 s. IT Y. o 1.1 (Signature of Undertaker) 4-44-1 31/7 "ttir-ti4P11--- Dated February 2 20 19 Address Utica, g 27 - 4 4 as .7,.. PERMIT OF LOCAL REGISTRAR Dist. No. 341 Registered No. 3.6 Date of issuance February 22 5919 A satisfactory Certificate of Death f or above decedent having been filed and recorded in my office, PERMISSION IS HEREBY GRANTED FOR THE REMOVAL AND SHIPMENT OF -BODY. (Signature of Local Registrar) V,A,01A-11-N4"LijeJ- eputy Local Registrar of the ._ LI ti7 of Uti.33., , County of Oneida . (City, Village or Town) State of New York. LItioa, Ctits Hospital Ft"-- Only the Local Registrar (Deputy or Subregistrar) can issue a Burial, Removal or Transit Permit Detach here and give part above to escort or attach to waybill if shipped by express — - - - ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON WHICH INTERMENTS OR CREMATIONS ARE MADE 1.6 f 5 . .�..•., was I 9. (Interment or enaatiou) w / (Signed) . •� 4/1 Person in charge of _. . (Name of emetery, rematorium, etc. Person in charge must return this Permit to Registrar of his District within SEVEN (y) DAYS from above date. If no person v is in charge,the UNDERTAKER MUST SIGN ABOVE STATEMENT,write across the face of the Permit the words"No person in charge," and FILE PERMIT WITHIN THREE (3)DAYS with Registrar of District in which cemetery is located. v EXTRACTS FROM LAWS OF 1913, CHAPTER 619, ARTICLE 20 § 37o. Dutie_a ndertaker. In each case the undertaker, or person having charge of the corpse, shall file the certificate of death with the registrar of the district in which the death Pccurre 1 ant obtain-a-burial-i removal pevnait pr-i,-,.ts,a„y disposition Alf.On. body. * * * The undertaker shall deliver the burial permit to the person in charge of the place of burial,before interring or other- wise disposing of the body;or shall attach the removal permit to the box containing the corpse when shipped by any transportation company;said permit to accompany the corpse to its destination,where,if within"the'state'of_New York,it`shallybe'delivered to the person in charge of the place of burial. '§ 380. Duties of undertakers;interment within the state. If the interment,or other disposition of the body is to be made within the state, the wording of the burial or removal permit may be limited to a statement by the registrar, and over his signature,that a satisfactory certificate of death,having been filed with him,as required by law,permission is granted to inter,remove or dispose other- wise of the body,stating the name,age,sex,cause of death,and other necessary details upon the form prescribed by the commissioner of health. § 381. Interments. No person in charge of any premises on which interments or cremations are made shall inter or permit the interment or other disposition of any body unless it is accompanied by a burial,cremation or transit permit,as herein provided. Such person shall endorse upon the permit,the date of interment,or cremation,over his signature,and shall return all permits so endorsed to the registrar of his district within seven days from the date of interment or cremation. He shall keep a record of all bodies interred or otherwise dispocarl of on the premises under his charge,in each case stating the name of each deceased person,place of death,date of burial or disposal,and name and address of the undertaker;which record shall at all times be open to official inspection, provided that the undertaker or-person having charge of the corpse,-when-buryi_ng a body in a cemetery or burialground having no person in charge, shall sign the burial or removal permit, giving the date of burial, and shall write across the face of the permit the words, "No person is charge,"and file the burial or removal permit within three days with the registrar of the district in which the cemetery is located. SEXTONS and UNDERTAKERS violating the law relative to the return of permits are liable to a penalty of NOT LESS THAN FIVE DQLLARS IVOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law will be enforced. Local Registrars are required,under penalty,to report violations thereof.