Austin, Phoebe Attach part below to outer box or case
TRANSIT LABEL
Form VS No.62 NEW YORK
STATE DEPARTMENT OF HEALTH
ALBANY
Mr" A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accompany each
dead body transported by common carrier.—Rule 1.
PERMIT OF LOCAL REGISTRAR
Dist. No.d3" / Regist o.
Date of issuance f__ _ ...
Y� � l9-fig,
�q A satisfactoryCertificate of Death havingbeen filed and record 'n m office for �j -
1 R , who died in the y of. J�
(City, V ge or Town) -- ,
coCounty of ��'—G � , State of New Yor , on -_ i9q and
2 the body having been prepared strictly in accordance with RULE as certified by !;
m (Name and
Shipping Undertaker, PERMISSION IS H REBYRAIY�ED
�e address of Shipping Undertaker) eSCoit
FOR THE REMOVAL AND SHIPMENT OF THE BODY OF SAID DECENT Name'of consignee "'
,� / ; Point of Shipment : Point of
-destination
(Signaturq�of ocal Registrar) 4
�e Local Registrar of the of ,County of7,-4.ez ,
1 (City, Village own)
State of New York.
• ` to • ROUTING
The Railroad or other Transportation Agent must enter hereon a description of the ticket held by the passenger in charge
of the corpse, the exact route,and VIA WHAT JUNCTIONAL POINTS it reads.
SPECIAL INSTRUCTIONS—A burial case containing a corpse must not be received for transportation unless the person in charge presents a Transit Permit issued
by the Local Registrar of Vital Statistics (Rule r), and an Undertaker's Certificate stating that the body has be n epared for shipment in accordance with
[� the Laws of the State;nor should it be received even then if any fluids or offensive odors are escaping from the case. 7�
i� n 4 jp x— '9- 7,
From k. � _ State of New York,to ram"""� State of 'y•
No.of Escort's Ticket a "l `r- Form No. of Escort's Ticket Ai-4 V
No.of r se Ticket .A J-4-;f Form No.of rpse Ticket /sfJ�i
Via,_ t.DD To
ki
Via To
Via____S.... ..--
To t a-a�_j 7c
Name of Passengerin charge Place of Residence �5.'`"`zViC'- ..
Signed-- % Shipping Agent
NEW YORK
STATE DEPARTMENT OF HEALTH
ALBANY
SPECIAL ADMINISTRATIVE RULES RELATING TO THE TRANSPORTATION
OF DEAD BODIES BY COMMON CARRIERS
[In effect throughout the State of New York,except in the City of New York,on August I, 191$]
RULE t. A transit permit and transit label issued by the local registrar of vital statistics must accompany each dead bodytrans-
ported by a common carrier.
The transit permit shall state the date of issuance, the name, sex, race and age of the deceased, and the cause and date of death.
The transit permit shall also state the date and route of shipment, the point of shipment and destination, the method of preparation
of the body,and shall bear the signature of the undertaker and the signature and official title of the officer issuing the permit.
The transit label shall state the date of issuance, the name of the deceased, the place and date of death, the name of the escort
or consignee, the point of shipment and destination;and shall bear the signature and official title of the officer who issued the transit
permit. The transit label shall be attached to the outer box or case.
RULE 2. The transportation by common carriers of bodies dead of any diseases other than those mentioned in Rule 3 shall be
permitted only under the following conditions:
(a) The coffin or casket shall he encased in a strong outer box made of good sound lumber,not less than If of an inch thick.
All joints shall be securely put together and the box tightly closed. Either the coffin or casket, or the outer box or case,shall
be watertight.
(b) When the destination cannot be reached within 6o hours after death, all body orifices shalhbe closed with absorbent
cotton,and the body placed at once in-a coffin or casket which shall be immediately closed and the coffin or casket shall be encased
in a strong outer box made of good sound lumber not less than a of an inch thick. All joints must-be securely put together and
the box tightly closed, and either the coffin or casket, or the outer box or case, shall be watertight.
RULE 3. The transportation by common carrier of bodies dead of smallpox, plague, Asiatic cholera, typhus fever, diphtheria
(membranous croup, diphtheritic sore throat), scarlet fever (scarlet rash, scarlatina), shall be permitted only under the following con-
ditions:
All body orifices shall be closed with absorbent cotton, the body shall be enveloped in a sheet saturated with an effective
disinfecting fluid and shall be placed at once in a coffin which shall be immediately and permanently closed. The coffin or casket
_ shall he encased in a strong outer box made of good sound lumber,not less than '- of an inch thick,all joints of which shall be
securely put together and the box shall be tightly and permanently closed. Either the coffin or casket,or the outer box or case,
shall be watertight.
RULE 4. No dead body shall be disinterred for transportation by common carrier without the previous consent of authorities
having jurisdiction at the place of disinterment. The transit permit;and transit label shall be required as provided in Rule r, and
Paragraph(a) of Rule 2 shall apply.
RULE 5. Every outside case holding any dead body offered for transportation by common carrier shall bear at least four handles
and when over 5 feet 6 inches in length,shall bear six handles.
•