Comeau, Leanord Form VS.61. NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
tar 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..__.6 4
Dist. No5601 CountyWarren Village GlensFTown �alls N:Is
or City (If city,give street address)
Name of deceased Leanord J. Comeau
w Single, married, widowed, Married Mar. 28th 40
Sex M Color or divorced (write the word) Date of Death 1948
Age Years.. Y1 _Months 23 Days Birthplace Glens Fall, . . ` .
w. .w
CardioDecomposition
Cause of Death Ap
j Certificate was signed by Lurlo T - M.D.
Address tens Falls 1l.Y.
Place of Burial (or Removal) 'lest .lens Falls N.Y.
(If body is to JtempAi..p' _held,fill OnusinApem l.ater)
Cemetery lupn Ci Date of Burial tSal"..Qx1...ao 19 40
(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
Numberd o a as thereof I HEREBY GRANT A PERMIT
to i$ne4 J. Bolvin Glens Falls NJ,
(Name) (Address)
the Undertaker to hold temporarily and... ..Inter the body.
(u or person haying charge corpse) ' 4 ter,rem�e,o L t yvis snose of(state how])
Dated . . . ��c....e 19. (Signed) n 4� .,o- , .•�
Local egis
This Permit is sufficient for the Removal (and Interment or Cremation) of a ba 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.
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