Jobb, Isabella TRANSIT AND BURIAL PERMIT
No.J 6.vfc. .. .
STATE OF NEW YO ;
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DEPARTMENT OF HEALTH OF THE CITY O YORK� l€.9
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This Permit must be'properly signed and presented, with Undertaker's Certificate, to the Railroad, E.irA , other
Transportation Agent, before a body can be shipped. �.
•
New York,
The Certificate of Death, ving been f ' ed to me,e,-as req. ' d y he Laws of this State, permission
is hereby granted to__ hcti�-. of U rtaker iceno.
bu 1 at Lyri,4 !' Cem ry afor the rem 1 and shipment for • z ��- - cremation (when ob (n )
___ A_____ who died in
State of ---- -- -------the body of___�r =�'-'-lT= � —1
the Borough of__a_,_County of___. ....,,_ __, N. Y., n 42 A.-3 ___, at M.
Aged__ yyears months T7 da f sex__ -color, the cause of death being
which necessitates shipment under Rule No._ l of the Rules of the New York State Department of Health
for the Transportation of the Dead, as printed on the back of this Permit.
Signed
(Signature of Undertaker) Ass't Re0(strar
This Permit must be detached and delivered to the Person in charge of the Corpse.
NEW YORK
STATE DEPARTMENT OF HEALTH
ALBANY
SPECIAL ADMINISTRATIVE RULES RELATING TO THE TRANSPORTATION
OF DEAD BODIES BY COMMON CARRIERS
(In effec- ;iroughout the State of New York,except in the City of New York,on August 1, 1915.]
RULE 1. A transit r.- ; and transit label issued by the local registrar of vital statistics must accompany each dead body transported
by a common carrier.
The transit permit shall state the-elate of issuance,the name, sex, :ace 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 a 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 transportatioo by common carriers of bodies dead ol any diseases other than those mentioned in Rule 3 shall be permitted
only under the following conditions;~
-----• 3-" afPiH-or caskets of be encase in a strong outer box made of good sound lumber,not less than 8 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 60 hours after death,all body orifices shall be 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 thane of an inch thick. All joints must be securely put together and the box tightly closed
and either the coffin or casket,or 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 conditions:
All body orifices shall be closed with absorbent cotton,the hedy 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 be encased in
a strong outer box made of good sound lumber,not less thane 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 1,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.
PROMULGATED BY STATE COMMISSIONER OF HEALTH AT ALBANY, JUNE 25, 1915.