Magram, Abraham Form VS.61. NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
129' 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.
Dist. Not 8 0) County� a Viitage .Y.6 r�`7 h.
y (If city,give street address)
Name of deceased �?,�,,� ;',.)-44,--
Single, married, widowed, - I _ / -
Sex '211 Colo d or divorced (write the word.cg.. . .Date of De h.. ,e, ,...j...9...........19...1(.2.
Age 7..6 Years.... �..._...�.f. ..Months ,ays Bi place ,fix ,l,� -'.�,.
Cause of Death .rGlii..4!: .... . . . .. .. ,..
Certificate was signed by /3., ....4' M.D.
Address .. .
Place of Bui ia1 (or Removal r... '
(If body 1s to be rarly hel 11 ace la
Cemete . . ate of Burial...., ..�..,/a(,... 0 19..YZ
(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
Number nd on the basis ereof I EBY GRANT A PERMIT d ar
42 (Address
the ,/�, to hold temporarily and the body.
(LTnd aker or person baying charge of corpse) (Inter,remove, 'r o herwise disp [state how])
Dated. .9'. ..,i.f 19.V1.4-: (Signed) ,".......
Lgal_-Re stray
This Permit is sufficient for the Removal (and Interment or Cremation) of a •Ke .to any part of the State (subject to local
m s n ti o 0o n cc , M� °. o- ."O a n o-'n ro { o o �s -:3 M, O'f p" 1� .,
o x" + -, cr° n vac ° n ° 5 TM° C a tt7 y .,o to C
n „ ,� o a n n C n w C •, w w °c a'.n°a n 3 - " i ° ° rb .. a m C�1
a n3na wzowy3�G �nr'n �•5�oc ,o� ° �o �' - Ov'c�w'-, orc3 '! �' 7CC n ::
Z A. ►t a"3�'i70.w n 0.C'O _w ,w- -. '' 5•n ,, ?nep�(pw rn <4T�O'0.K-• n nN otir,' (J!� ['rJ C» Crw0 2
.po as -9 w p 't 0.3 aw , n .taW p' bcr.. W ro N n .'0 n.v, w n w p, 0.,.•'+,?., ., w O 2`0 O �s
R `G ={ 7'° .t n9 ..e ^! -° 00`•0 C g•-O 7.0.., ,, w n -,!' -1 G _•O rt ,y H w :-0.• " 'A R 0 0. O
m.71 me 7.1 `n n Et'.w �.L.,, p O^ w 'o m E. r n n n n 0.n COy 7�.,. O •n o O w ., q'0 G 3.0.. ill .C..7.-.a
m ^ H M My 4104a .` a=. n : M-• R < C n w n �' .V O v
�_x EFbncop a", ow ; n0 »N; ° ''t. r, a n �•0x r Ca
" '< -° n n C.M n 7 o G.•n n n .w+ 3 0 - . O a ti ,.. f7 < G .C.G-'' 3 ', o Z/1
m m y Sti w O '� n ! .n v, p o n ewM b 'r'} N
ao, 3 n ra ? y w n rt n o M w5 o Ga vn n °- ss aw < 't n ° ,� Z►j05
Giro H n a. , ° �° 3 A o w w �C t 5 Pr p' n =w n �`� b y o "0�7
• Om Z �a.n Frr 3w " M{ �=G roi ° "� w � n � n , .5� a° < , oC iAYn •
/Z.�
m r-..N -' .+C Cn•v,•n r,�7 rs3 .1yn � Ao p, nn mm �K.w.w.p m �n ., °`.J ...Cm
" 0 m ry Z�`< �'cn n0."t w A Z -'C .m.C- a oR 3On ?;w nn ..,In o; .v, ;;> k !o 0Ento ►Iri
III ri
mt' Sao •onana? ::o3 � p n ;?yn , „ no r* .3 , .�Qy•S a " Z "
�m en nw n•5"rt " S0 a{ 3 �nm50. o �°�o a, 5'.,,A " w MOO
a> F. r."? C ^ w 8 n C ' a N'W C;.�. G n w w, •0, E w.•� :t O O " N ,-r
.2 c,nm •iti ` ,CW a.o °..= n ,^*�0.0.LC 5 7,• iv,
SI`< ^'5.5.o.wr< " y -
•7 toO ��
`. iA. r-. w m W .-I C,Yr•a u C-e_. o li •M n Q, 'G-,O p N rn ° 0 y..'7 n c w G p'w ?-a- d7,� t.}F A
60.7.G o ° 5ww-ni� o.5 '-'• owno .r''' orn5Crcm E. • =rnnp � w c,..1
" X° gin yK O a'R. w " ° Cn ew V�crj
a m C+7 ypncy . 3a � o " pr, wwc n .� owa n o- ]
%UO 'A ❑ C.0•ai nQ C ••^5�•f " cry ran :«'*n •5'y .- w 4a" =o2 w0 „]-„ My'° s'4 :'. 'i 0"C`'ee m Q\ x0 V1
C "j.w n w O '� S O `-, �'"+ 't y V' w Di- w rp p ..! 0. a.A) m,..1 N 0 m ton, rt M ..0- !,a
0 ?�Cpn• Cn3 [C �.ao �OO � w •� fC may » nn5•^'crac. , , n•Ort 7 � 1 ' " ,.j F e: ❑ >2Cn
z> cyw •, b o ;:,C EL a; X : 55 n O ti to o •w 0." f1
0.(7y t o a C ..y Ff w .P? O n zl o o p 0 a-3 ° " X I .r.•N 9 a n c X
K n.O1�'M-, � " w nrne-€ilr 7° °+ o pti 5' cQgcrq ,.°•g''-, �,,w r<t n oc v`'a a �� w 21-g LT1 .I. -r irr � ro 0,►cr poi
0
►J �•, 'A n• :E! I1JD41U
niffhifti
DJli!- iiH!4
nDrr U1 rt T p [r1�a ,wy mry.. atn0 k q n p3 re e P"-- /+
'tl rt .n 7• ,,y j4 ; j
�.•gliltili
! 111I
m rt1 "g (/, A n F. '� h 0 o'"� 70 O O' 3np .cn ., ❑ H " oa r. d �
''.C“ " n O n gm ,._Oa ,b 3 n y .t 't ,''G ,F,'n c' .n -, 3 n OM0.E C.it 0 a'm v (4,
,n. r. -, • 5 s' -, O n n 0. H '+ .+ _ -, a .� u " li*�1
O•A�di ry ° n " 5.O'y'ti nn K~ tim o ...r6OGa .g ' -•O o •conu " •OC. S?v r4 rp or zr" _ "'fin 5•K ��yz
�,0 OR `'.. rw'+ n O f�D'non- .G].p C•w" o O'b 77, 5. CI,
.o n o . ry -I r,3 . .J' `e w ° o:o.wa-- ." y el MA
L.
i5 5re• 7, 3oNo� o A, ° �' �. 0-- o•=! .; N`. o °,5'nUr k •. �w'C rt VAi •• ••-i p OD
a E >� Cv, ,T,O C0.y•h nw z ngTi �'ti p,- o31: .tw ,°."- y5'0' rX.m •t :T
PP < " =•�° �,•nn ?:-: 5' pi, ,51n'n '' o v .4-c•'° �" wn K rtno non A
rt ..� O w W ....+t C 21
N n .-,-•.ri' .y .0 O "' G. .C n N < M C -� w
�atn �b �• y -�. m• 3• O G'0.vi .'3 n C. n .Pi.p C o ,9 O .e r..i.•!.
omOm ', w Mn _ Ao "05p " "o <-• o� o Nn *oa.p" 'r. na, • 0F`, tpa-w x,.mK X7
" 3 n w-. tea p ., _ o a� Tr /-
.. C - 5'^'•a.m ^' t O ❑ r3D It 3'`t C b ,�O to" '" ° n r"n it O rj.1 •O .-.aa cal rt �,,, t1]
ti OM�C 7 0- n < ‹ o n n O .1 0- 3 w H cY n 9 n C .,1 w C ^,C tn"02 i0
ri0" . G ..4 ' Bwo ., a-.+ •o -, �+co, °-� w - 3 c 0 � p13on mp
r► O 7-,.+-"�.� �.C.S C].0 m n w 5'Eft .:M< A.w GI.0 '-! 0,1i'C v� - C ., p" re Q
Sy C ?• 'w. n "a_,v, (t .-., 7':p.C.0 n .... A�t O'C 7 cr o ''n.0<, Z r, C o n.c ei 5.N o-o w C.� 'Li