Williams, Margaret Form vS.61. NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
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. �� ,���-�.(A � Registered No.
Dist. No.S-... . ... ..
.V.1..County... . . pillage /
lty (If city, give street address)
Name f deceased Aj.
Single, arried, widowed,Sex.... ... Color.� r� =.or div ced (write the word)........ . ... ... . €Date o eath .,...Q ..19..q..�
.Years Months.Age Q.� t1a /... .(A Days � Birthplace.... ....
&use of each ' il r _ �, / r .
Certificate was byfe.1)'Y , • :..ii' '
Address _.
Place of Bui 1 (or Remov ), -.....
(If body is to be porar:ly'held, 11 in space later)
Cemetery.. .. r S,.�. ,r .-- - Date of Burial �i ,r ,:..1..4L......19.. .5
(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, t e same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW,
I have cepted the same for regg�' tratio ,ave recorded it in my Local Record with thhabove stated Registered
Numb , and on the basis here6f�I H: " B NT A PERMIT
to ell C(--le
(Address)
the . . . .. ra ' y a thej bo
(II�ertaker or per b v}ilpyg charge f se) t0 holdten O Inter,re y , y otherwisdiao se of[state how
Dated. ... .. .. . ... ... .. I•'t ...19. .% (Signed .-- ..
V Loca Registrar
This Permit is sufficient for the Removal (and Interment or r ation o a y to any part of the State (subject to local
cemetery or other regulations), unless removal is by common carrier, n which cas Transit Permit (VS No. 62) is required.
ri>
•
" °rn 0...
b cw- <c o < � 5 `^5' p 5...
cr v'�
'^�
CI 5 o w :w5.Fu c.n ry o 5v °,o..q -• ° n-c) co 0 ., amY '7 . m
rt.
-m ,00•0pce �CmaaOco ° a-p x.nn0'gP3nCfg . tic@oo � x dHz.
.r ~ a , caw y5 �? RM��a n -I - a ' o 5 °-i m c. t . a.• •, c co, 'G 7q� ° 2
F✓ pp n y w an x � xq�, oaclmaw ° Gn tnz '• ; CZi, -1:3oa �aa -.-.Wp)' 0 ~ cr., ,,,cNn pP ) tz, o".4-xw o z G . Fa, GX m . ° a . , ,' 00xa .yO V9h O--' 0 n Oan -.ro ro ., K O'w5 F'y % A 'f 00 v
.y^ OamR cp `< x< - rt np`<" y 0 . r0 P a .nt n.. ,-' O •nOOw ., •t a a co N .:HVov.. �. 7; h n < w ;yO ywpyy ,,, n .-1 a5.. n -.54:i.. 0 a aroy on .+ rri T CC0r � ro ^Nn wr n a:a'BA,.5n dx to
m ✓f,,> .o"� re3 areAy° �ro. ."4o-.n yadw nw ,.a" m¢ o *sw n Gno vmyn � < a Gay .p oneaw .o 'Om1 �m.1 to►jC5' 'OCr1
d EC 2oe541'-" =° ;,, 1 °� � *0,G 5 ,..—= ,o; -,, '' wwa.og,..ce • we 704ma- •CD w eT,g w •mo ag•� n.
CI rri
go r q • Rn ^ Rzm 'nn 0 , O � ? a ' f �.xE ▪ .. mwz. aoti Z; C o m a 0 oq.p gae aw p. p n r.o, p, e y ; o ° a � oH ✓
RYm 0 ooe n0)-- on'x.. - ayw . a9 ° '-' , K—a"P▪ ° ,..i o 10, e.r 11
0 ;v G m n En a? a ca a oo P° C��Apti tit aGa�o c ° a n � ":: x0 , a a w C •w a-. rn 0g OC toA C myou ao , CT_. 0 .�P ° c •�(" y ° 0 y. n r' < -+ oaN � " z M• r.,0Z o ..-t•1(Tv c •P'b a Z .1 0 " p• ,o• y n • wE ya -. CO ;. <m � � Z70wao tix0 ywT = : cr..+are01w doanww-,, nas --owceo T ax c , rrya ,.a a.
• �' On ba ' 'b Npx..+ OwA rtnaCr) g'—r'OPtL „.�.'1 ry OZtoa+�'< l_,l '^E'aOM PT 0 .., t ., O O re '.' f . 0. e to r-a„, fy P r) 0". . 0.-.CD a Mn z . h En N .
ft
-1 1xAPOp -t -..aO ., " .-t y C. " WnCC PNO . a - `'n ..., 0 H trl`jC •. 5 •YC .n.. n w..0 - ruro y o O n . ••� e ' a 0, .n^ nM-.no ro �'x n 0 ° K ` ...IQ a. "ox2Yan ° n'aZaa.7 �° E XY K vo n'ro opnda-"5 ,1 .[ ,Pyo ►jc? w o o , ab ° � 2 CH• �07CoA � ~ 5 ar w C`Cl oc cr ,-, 1 Cr°- aa-2 � , - o % A 51 ® 2a x y o C, ttaA ? ry n ' "g .�• - < oo ° nn •fC55pa , to :� 5-, ww "' 2 ° 5'"G0 '" � < nq' ' Z t n rn .w w .o ., n n 5'Pa o y(on o y - '' -•p) x ara .'0 - o nyM: ' .--A = .nRo= co .-, �'w .0 ° o 0a"N 5-- °- wwR -- H 2" mn ,... O� . p "v - • hh
pn n n ya w`< n v ro s x � A �yw n a y c yv n 0 5.. _. O p e .y -t n o a . to .gL '7 wah . 0n a to -a A C49 •'p O n o b o ' Na CO Y ^, ,m ti, .. N rt ot'lio ya.° �po"5 apnc) nCo yyn x wnay. `< p0 °. ms 'C"a o o >-Im
so
crq
Po
"ri
ill xi
.. w'nx° o-war, • a. „b , s' Nn ° ryaya " 5ne� HtYom La 0. Cp p w : n �t co p... p.V 5., a.F .- .� a•c e Fp.0 ..,x.m : o'o o> m a XIu)Cw O bOx a a:C '5w ° xh "3 .- -o a'° ro• n 'y -"^ wg '00 coo 'ro et, C a roi noCro " .- a5 0 : V 4 O0 o • 5 r o- 'r 5 n co , , a-a .a-q a,a .r ~' O p a,• u) o ' a -1 �M. 7, 4 tTi n .1.n.2ny C n ��•5b c-y' y` .O 5nP 5.'" 5 Nr. •e-,y•••4 .•,z) (A
-01
•
1.4
x n o y n ro a f 6m _ J
▪ a^ o m Ix .n n ro o a-a , p s mnc -. a .x n H ?;CC* ' Zomd„ A-1 4-r5Frc - g ,-w " ' ° ...�oq -voxiw no: ri . < c ° L m `m...O `Gwco agbt- .ap .''-' p •° ' nYrn0 -•••< w - 7cz-nd) „ O ZQ •m A7 t �, rnn� pNw O : i 5a .. O. .- '. y p �•� CD. x ^ w 7rCo • ]+ mn _ . . •t0. t.< yO (.4...9 na , a'•� ...q, a,•pO a y b ..x.-I W- , ° , wN p o w , ° .., w O_ pa-0- x m oK Cn g >•ro OO y r, a. n y y. - ''-.d nn '~ O y - :.',xb .wn , , 'r 'nO r ,no : On
.•v 0. w P ••= 9 O7wOy n � ..n wan 'OpO ', N �` ° n'c y < ., n a. �<az0 .? A aq waxrow .. :,r ." < aro 5.a '' O .5 ,- 0 < o �•A� ivFa o ° ara. na rpor° ya � oww wa5na :o � ao .•1' i'E:a 5. a. a ma' * w a
oO . ti a .. ° :•< as oa ^ w w 70 .`� "' 0wao � ivth o ' ? M C * C1"? %pTti . n w wb , 05 � Yb ° . • �o S c- , oyio '8l • ' ;, rp 7 ,..
a•yp • tso p�xC pxCMn O y " . O oav to.2 " w� -, .- ; a °• N °n 0' Og ' c�.tlwF�:o • a;°xy •' yw .n" ' a a;ow Z ° e- .. -�o i r,
'3 ,n. •5' B a;a- a,° nN o' a co 'a` y -, 0 o m to xo vR X° '7pro 5n w,Oq a nay5wa`< -t n �.. --na0w ',. .1a- 0000) wa'..,•, aana ...
5 tri