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Pinkerton, James Form vs.61. NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT sa 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 CERTCATE OF DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. ' Registered No.._...-._.._..._.__ County a Villll Town 4 Murdock avenue Dist. No...rr?.F1.Q,�....Co xY Vl...��e�4 Or Clty (If city,give street address) Name of deceased jellies Franlain Pinkerton male whit Single, married, widowed, SexColor eor divorced (write the word) married Date of Death...APri1 4th= 1942 Age 71 Years 1Q Months ?7 Days Birthplace. $ rQi IL. I* Cause of Death coronary thrombosis 1 da; general arterio sclerosis 5 yr.;hype its is Certificate was signed by Dr. Irving R. Juster M.D. Address Glen$ Mills..:. ..m:.:- Town o ueenib Warren County Place of Burial (or Removal) � �'Yt (If body is to be tem prrriIy held,fill in space later)fi Cemetery a.n. �1. Date of Burial April 7 th v 19 42 (II 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 Haroldg C. Stafford dens 'alJ, Under taker(Name) ' Inter Address) the to hold tempura ' and the body. (Wert**emersion having charge o corpse) r remov ,or se t ho ]) Dated 11,PT 19 42 (Signed) YS �wl., d��%mot/ Depu 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. su tip o HMI i m i [pp�S Ma 5 c "." a 2,2,4. rR. a g k8 Tfe:cq..1 4-* m n v elftm .gg-g..*, .. Rz_pi: ,c,t,) tottg.ga..42;, , ....1 ,...•:i (4 4 *g.'s . trt g 1 zo ,... 9. „.al ift: i hi • .S. �.�R;4 e: g '�. igg_ mSri2, 2.0 €ist r 2- ©gip. ,&Pa 4',b, + , it tg2N ItryII* "t *0. -al° 2.�'-e'.p`{ ✓ Z g O„o "rcy G, 5"2w•0• w n p,w y ,e;y � Paws -- p"" '.ii n. s ' tfie r. ,..k3E011 .., . . --.g-.861, 5-0..-.g.a'ii.g.,,,, 4-$'011 ,kil f.11 g.i i ... zril � �� ,�, n �I rc `� © n �' r�, o�t "'�,g; �° `�to � v`t ° a ., erg m " '.' : I . @'!* yam* C3.._ �._n.�"..�• �.�`�illtr :.'t tv =. tli .. •A 0 0 j�s,..:- ° 2. �p 11111111 ft 1:[ ., Nee -..i. � Aro 2gN'g .. ."TR W y it a - ti 1,.' '4'4:- om,g - i-40 . 804 ,05--0 ,.., ag --- ,a 9. mV tr. I :. ti B X � I: :..