Stone, Frank 6-'6-29-19,O3Q (17-8379)
TRANSIT PERMIT
Form ,No.62
NEW YORK
STATE DEPARTMENT OF HEALTH
ALBANY
Car' A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accompan ea
dead body transported by a common carrier.—Rule 1.
cy each
UNDERTAKER'S CERTIFICATE
1 If 'lberebp Certff that the accompanying dead body of.-_____.______ Frank F Stone of 4 Glens Falls,N.Y.
a Oneida who died in the
County of Ci tY" ---------- ----••--of---• Ut3 Ca
State of New York,on y,Vin e•or n5
C Color or race Mite
19ZQ-, Sex......
ale
3 Death Chronic , Age �------- -years-.------ months ....?-6..............-days,and Cause of
Qni c myQcd ,tl s
strictly in accordance with RULE_______ _-____ has been prepared for transportation
(State r as printed with this blank. Date of shipment________.___••--__
19.......; Route of shipment_______________ ` 1 EX'JreSg
shipment ti e a,N. Y, Ex_
press
of destination____-__- Warrensbur N y Point of
3
3 Dated April 21, (Signature of Undertaker)___..........._.................................................. Zia• 42$!)lg 30
Address-•••---•---•--------._._Ut1 Ca4_ `.._Y.__-...-
C ..
PERMIT OF LOCAL REGISTRAR
Dist. No.............3211
----------........
Registered No. 72
Date of i
A satisfactory Certificate of Death for above decedent having been filed and recordedpini office, PERMISSION IS
�ODY my21
HEREBY GRANTED FOR THE REMOVAL AND SHIPMENT OF 19--•-30
.
Ci ty (Signature of Local Registrar)______-_'LC`'`'�C e tl p ty
Local Registrar of theUtica
of_._._.__.
State of New York. (City, Village or Town) , County of_.. Qnetcla
Utica State Ho$pital.
y
Only the Local Registrar (Deputy or Subregistrar) can issue a Burial, Removal or Transit Permit
Co—Detach here and give part above to escort or attach rn a,,s.:„ :r -
ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON
WHICH INTERMENTS OR CREMATIONS ARE MADE
/
Date of d .q4t 734 19 T:if
14-71-?(Interment or4/i was• )
64yade_v_t,_e___ey
(Signed)
Person in charge
Ze of Cemet , Crematorium, etc.)
Person in charge must return this Permit to Registrar of his District within SEVEN (7) DAYS from above date. If no person
is in charge,the UNDERTAKER MUST SIGN ABOVE STATEMENT,write across the face of the Permit the words"No person in
charge," and FILE PERMIT WITHIN THREE (3) DAYS with Registrar of District in which cemetery is located.
EXTRACTS FROM VITAL STATISTICS LAW
§ 379. Duties of undertaker. In each case the undertaker, or person having charge of the corpse, shall file the certificate of
death with the registrar of the district in which the death occurred and obtain a burial or removal permit prior to any disposition of the
body. * * * The undertaker shall deliver the burial permit to the person in charge of the place of burial,before interring or other-
wise disposing of the body;or shall attach the removal permit to the boa containing the corpse,when shipped by any transportation
company; said permit to accompany said corpse to its destination,where,if within the State of New York,it shall be delivered to the
person in charge of the place of burial.
§ 380. Duties of undertakers;interment within the state. If the interment,or other disposition of the body is to be made within
the state, the wording of the burial or removal permit may be limited to a statement by the registrar, and over his signature,that a
satisfactory certificate of death,having been filed with him,as required by law,permission is granted to inter,remove or dispose other-
wise of the body,stating the name,age,sex,cause of death,and other necessary details upon the form prescribed by the commissioner
of health.
§ 381. Interments. No person in charge of any premises on which interments or cremations are made shall inter or permit the
interment or other disposition of any body unless it is accompanied by a burial,cremation or transit permit,as herein provided. Such
person shall endorse upon the permit,the date of interment,or cremation,over his signature,and shall return all permits so endorsed
to the regi3trar of his district within seven days from the date of interment or cremation. He shall keep a record of all bodies interred
or otherwise disposed of on the premises under his charge,in each ease stating the name of each deceased person,place of death, date
of burial or disposal, and name and address of the undertaker;which record shall at all times be open to official inspection, provided
that the undertaker or person having charge of the corpse, when burying a body in a cemetery or burial ground having no person in
charge, shall sign the burial or removal permit, giving the date of burial, and shall write across the face of the permit the words, "
No
person in charge,"and file the burial or removal permit within three days with the registrar of the district in which the cemetery is
located.
r:4*SEXTONS and UNDERTAKERS violating the law relative to the return of permits are liable to a penalty of NOT LESS MAN
FIVE DOLLARS NOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law will be enforced. Local Registrars
are required,under penalty,to report violations thereof.