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Hubert, Corinne Form vs.61. NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT X 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. 4102 Rensselaer Town Little Sisters of Poor, Tr©Dist. No County Village y. or City (If city,give street address) Name of deceased Corinne C. Albert Single, married, widowed, Sex 2 Color W or divorced (write the word) Wid.A W 19. Date of Death July...6. h 19....4.1 Age 6,5 Years 8 Months 1 Days Birthplace Glens 1P8.1. a.,...N... .Y.. Cause of Death Cerebral Hemo rrhage Certificate was signed by ____..?7:.,....AL... M.D.... Kb ovg.b • Address 4oho.es.;....N....71. Place of Burial (or Removal) Glex>.; ...11.11g.,...N.....Y. (If body Is to he temporarily held, till in space later) Cemetery ILK GZ.QiS...P&.118,....C.emetery Date of Burial .+-:13.1Y..9.'e 1945.. (If body Is to he temporarily held. till 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 he 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, andon the_basis thereof I HEREBY GRANT A PERMIT • G. to Doran Troy, N. Y. IInd,ertake (Name) (Address) the to hold temporari nd Inter the body. (Undertaker or person having charge of corpse) (Inter,remove or other a dis4oae of[state howl) Daiol July 7th 19..45. !Signed' v e 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. "...PO ••'•Cow0-wrr.-•NyNcn o .e'owoof r+o -e7 MNmP 2 ?5.F " GM"'1y ^^ 1xti ', 'f ...<o n C ro offin - •-,, w =•... ,w pn o: - c .i Nw c. _ r0 >fD >M MI 0 ril va3 � 3 � a �, z ,', = �7� 9 �? -s�a6� .'��i i � 3.�"Or ca'�o � +, Nw, t-G PCB n.°'4 m �° z e; = 0 < O z D 6.G•G N K - ^ - (o O O c v 0 , c`, O'M, .:f.. OQ T^0 r a Cr o In Z.9 w p ° o h.� U m . .. 0 a 74 ro .:O W w' ',0 o'3.0 W•1- w n '•, n - 0 0.-t W 0 rp K ei p 0 d :..�.0 CA y ", C < `ro -Ot '•. 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