Tucker, Edwin O r11411+'S1r1 01 Al L' L121 t11411/11%111 Vl IIL'[11J1I1
Bureau of Vital Statistics
x BURIAL-REMOVAL-TRANSIT PERMIT
H
w Full name of deceased TIJGKii,R, Edwin Allan Hodgson Lt.(jg) D-V(S) USNR
A Place of death_ USS SCHUYLKILL docked Norf.NNavy Yard Norfolk Co W.
(City) or s• (County) (State)
w Date of death Apr.20,1943 19 Color Sex bf Age 35
Q Z 11Iethod of disposal Tran eportats nn t
(n (Whether burial, cremation, transportation, storage, etc.) (Cemetery or Crematory)
w City or` Glens Falls N Y `
a/ 04 County State
(,T.1 x A certificate of death having been filed as required by the laws of this State, permission is hereby given
= 4 to Richardson rrM Foster Address Par t,emnlith,Va_
En" M (Funeral Director or person acting as such)
G S to dispose o d of said ec ed as�etated.
+J
/
w 4 Dated at this day of 19
WF~ (Regis s dress)
cA Registration District No. 1 Signature.•����7� 4 .t i c'
..i;��., • (Registrar)
CEMETERY OR CREMATORY AUTHORITY nit-��Q SHALL FILL OUT SPACE B LOW
• Body wasif .'t. -mil on'_ 'L 3 19 41 in flA/ .tr►
‘..
ai (State whether cremated, buried, ored, etc.) (�. (Cem teryfor rematory)
a! Place i`dkvw.i- `•A'l , Signature Cep�ii ._.A I`r �:� �.-�":Y'Uj t] (Sexton or person in charge)
x p This permit must be endorsed by the Sexton (or by the Funeral Director where there is no Sexton) and re-
F+ +nrnaA mi+hin 111 avva tn +ha R acia+rer ni +ha .1.4.4n+ ye. ...i.inl. +L.n 1..4.1 +n1.... ..1.,..n