Mc Garr, Dora Form Vs.61. NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
lt.�' 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.
7uwrr
Dist. No County Warren r'-i-llti e G.len.s .. ..all.s
or City (If city, give street address)
Name of deceased Dora...B.ernz.c.e...McGarr,....1.G....Ma_s.s.i.an...St....,....G1nns Fall .,...L....Y.......
Single, n.ai ricd, widowed,
Sex Fe flP1 eColor Whi tEt.r divorced (write the word) Marr.i.ed Date of Death De_p• 29, 19.4.5..
Age 33 Years 3 \t„,;,',, 0 Days Birthplace Waterbury., Vt.
Cause of Death Coronary occlusion
Certificate was signed by Dwight M. ,.. awyer A/ D
Address Glens Falls, N. Y.
Place of Burial (or Removal)...St.....Ai han.sus...C.e et.er.y..,....Tawn...Qf...s�`�,ue.enshur.d`.,. N......Y.R..
{If body is to be temporarily held,fill in space L•,ter�
Cemetery Date of Burial a'&nua-ry...2iad 19.E 5..
(If body is to be temporarily held, nil 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 Harold c, Stafford --
221....GI.en...St...•.f lens...4'.alis N.Y.
(Name) (Address)
the Fun rat.• Director to hold temporaril and.. . nt.ar tt ody.
(Undertaker or person having charge of corpse) '�/lI ve or otherwe snos tate how
Dated Dec altar...29.th.,....19 45. (Signed)....
Local Registrar
This Permit is sufficient for the Removal (and Interment or Cremation) of a body to any part of the State (sub- ct to local
.emetery or other regulations), unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
r. -]0 m.'d o sv ^, 5J•�•� `".(.n5 ^ °.£b 0o o£ 0 r"o 0 7'O n ; g < o o•5t*,ag ti•5• r p�HSn a•^^ G
10 10S, � �n �a?ac - re441 `^R� w • 0-a,9- poaw °on6--• -Fi0u' C ° n >� v' a ril
=2 "Ai a.a'3keva.4) troc.c'oyf°°'^ o':- na �m,�w c''se �'.;0•-_-=1-•N is 9o.ryo a`°' t�i,Ett1,r� • y Z
p��m � � s� �.e �� o� � y '��'.�� � $ �pw^��' � `�° " w"a�o � w-'" iop,°� �.w't0.0.W ., a ^' O
.n y •t N- C .••t O '1 .... �t Op v
5. "� to .w+w N p •t " O y'N :" f, tt CO"a'..- ,-.= 0 •el O O P) ., .-t O O a O.P, 01 y �s�on fp
w O � 0.N .-r. w ,'! ,„ 8 •ttc:< 0.5.• ^• � O ._ < a < ato .w. wr-. fe tr. S,VO v "A
,.k £ rP ° ;a �+ to N., r, , ce f �V;o.a ,a..� o.3 a PI .C..0
n.�I=,j •o CD o,°,n a^.•p C•w , w @ 3 0 *w ° 'op,w '' < n • .,_w p `o•co < w o M to V�
.af a a-, -, a nfbR ., Th ,, ft'bo *a-pCyvrDs' .. a.� w < n •, cea .T•on''� n2.••.1Oa' ""CItri
. 0S Z N K to a'£ eq•p�..•4 •t ., a w O" *O .., in n•y'..'n ..7,••5 la,
W -;,•< ^t Fr,a = 9 H rV,O ^ MI
K O � ..1 .��',ae .+C p'�'SD � �W rt �y... -• -3,, nao wa OwNwn?,,Nbw t, 0." ••• .."43 'C O.
O ." a to O p tip R Gy,N, C.a w ,n0 c0 N .fe, n 4 v, a' 0 0 T E.'w.'' ." -Oe '6.j' .�.w •p'C) .1 1 z,t 3 z
a O Oq n, .-O .a' w ., O P� f! N h�
K a o. w.•1ye -tac-RNNco a -t f° sup F a c �s -'T.., as apcmce £ 03 ,, o „P, 5'». , ' o K,
m :uo U
a .. b «. 4wwca.1, C.0 .°..... cr .. �0 •HiI
a �,' How ? a Na'a'o < a' Vj-y•�t n aE•..-'~.o w ,-o 7C 1 o �0, +.•2 a. w M p, p.c0. <o . a ,,- C O d ao w •, asp a-w a' a....... 0. Co.
?" .4 acw N£ Oo , rt, a.Ort '•7:to •„p., .. .-, 5 --02 c-i Orog p,..in ° p.... E. -9M O
p .w•-] -1 C . ,y ..CD a 1 a w ro O a'to .'1 .*"r 0 < tc ,+� CA
O ng .a•.O '1a,- On2n`1 "1y m Ft- wnr wrt'O• ,.ta•�. a.w arDPi .00 rtaton '. .
o a c, c p a s w"fl o a-o g , N a•r, n N N a.a „ a... co a "' n o K "I M .••1 .9 r : ›Z M
O.r'z,'�' 0.w., a -1 0•'�? ."w'd •".Ot a W w k .....w ~�". ', V O re .Otoo O 0 O a. 01'd C.- ..1 .1 p •t .
n •-e 0 A fliPJItIHli
aati1ItE :! muu
trj o o-2Oo9a M E 't-1A. "'P, A apwa < Q,10 X w,A, avG." ...pro� .aa "' y3tr �70 cr oS N� 00Nbc "' 4 ��o3 7 �"T."Oy
,.""r"�a• n C.FD aq r.y a ~ A" ;' 0. a F to g p, ti a-^a _ .1, 0 t.w R C _n T',',;,C •`•• ;, "�.• ~
i 'ZZw•04 S� Sw C'Prw�.ri.:,°a..M a coon .,n C O �A w two c<o = -r P, to a w.0.a<t= . • " G.� . rt .n, C e �y�
. t�pr co
C .. ]•-I .r 0 Y. tD a a 0'c7 .... y.-- el .. - _ �? .- G-":, ...._ Y.7. : 0 ow' `,t X Si, 7 O 3��
.e1 ,y�E a .i o rc c n =-N.~•o C,-• ry -. a •`et n El. z'u, ti 4•� r a £ ,�~.a' o a F.o.p En .......-1 N -.7' n^ ter.,i,ill
2.yy
wl' M p......i.e,0...N ^ � ^...N rD t9 n N p•., (D 'J�'. ..-.'F, 'Y ., rJ .... •° 'C3 r, a ..1 l',l'i L.
`o_ n G A :: •.1 a•, o.w•-; n _ a •t •1 N o .,•io w re .``. 0 0 " a eD tc c a•- n :o- `� ° ."� s ° at •
_
e, a 0p `G ., w� o •-.j•,71-'".R•O.0 area ,..,b O4w tns. " 1rt B � r'£� N ^Gt l--^ .-.." ,. Z
t"�. t, n rt w TO. ;• a'aN °,° ^.N'A ?C - 0 O ^ o- 't = n A P.�n a-.O", "31•
o Sr<• w'aoNO ro '' . ', 'o c 0 -1 .1 1n O a wto roP, ° a°c ° ti, "� a cn
��n OOoHa'-1 -t P, o £ n�,y... o-., w- aa• _a •r
" a A < r,„ a a'Z t0i a'•O., N p; p, _ 0'0 ...1 0 ,r" 8 G .�- -•O a,.-..0.,Co < N ,...., *^ n o `"�CD pq ?. on
Pl. tiF,O .w..w,r.+^'te Ei. .j p; O N t° a'�.t, ., 1 0 0'", W 0^n.y ` fDb ,+ O 0< rr M 2.•< r 2n fe y
T to �y ° 0r)a0.CROa' Oq -••a'.tw ,o ^ u, a.1 a-.., -1C g Y o C7 1°A">.
T ... .7^" a-et OQ' m w Y a n -•Q O w a ry P w -•to a •.1.0 a -° r ^ ,0 CC '-1^`^ 1�'
m00n ., a a .- ,_w » ^'o'a.o�' o5 •-e - rrpcm N � .-�w �rnw •pN ¢ c C wpm ti
+.a c• o.ry _� �'w w ab w , a.y yo . - .0-0- .w o w- c^1 w w ,ae n'
I. til
o4c pf9ca•ow -_- r0•.4cre roa'< .1nc �a' 9P°, N c ".; wo� o'Y � ao t�*troz~
r', O'' �•'"c4` acv �• : �•�� b`; �wa� w .* < ~ . a � C. r - oto AC7E co
fe ''� �•...y w �.>.74. C.p N w co w ^•�,''w'1 ,n•. 0 N £ n O ^C d...,p • N N •° ••1 /"� •'t tq'f R O
A"rr .. DNw...gr oNamn 91 2 "e.'i tea5.01 •< Oa'? w.O2.a'w4wo'° -taa.tea ...�'`AO