Kramer, Harry Form VSNo.61. 10-27'e»:000 (17-2543)
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
itirThis Permit can be signed only by the Local Registrar(Deputy or Subregistrar)of the Primary Registra-
tion District(Town,Village or City)in which the death occurred after the FILING and acceptance of a COR-
RECT AND COMPLETE CERTIFICATE OF DEATH, LEGIBLY WRITTEN IN DURABLE BLACKINK.
Dist No 1..27 Registered No.: G
C,o,intY__ _Essex _.., Date of Death April 5th,__19 33
Town,Vil- Ticonderoga Sex. M Age 6 0 Yrs. Color White
lage,or City
(If city,give street address) (Or Mos.)
Ca of Death_ Apqp ex
ace of emoval)-_ ens Falls,* N .Y.
Cemetery.. .. Date of Burial aril 6, 933
Certifica of Death of Harry Kramer
(Give full name of deceased)
having been presented to me containing the above stated particulars, and, after careful examination
the same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED B\
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 John F. Gunnta ing._.__......_.._ -......., .._.Ti c o nd er o4-.. ,_... _a kT.a...._..-._....,
(Address)
the to...- - Inter • --the body.
(Undertaker or person having charge of corpse) (Into em v or othe " pose f ay�-to��
Dated A.pril-...6 t})y 19 33 (Signed?/ .._•__ ._ 1� .14-
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 reauir«L
•
ENDORSEMENT OF SEXTON OR PERSON IN
CHARGE OF PREMISES ON WHICH INTER-
ME S OR CIGMATION4 ARE MADE 33
Date o¢._._ _____...___ __ 7 _..�._._._.re__._
(Inter o t )" _
(Signed)..
(Person
t in charge) (Name of Cemetery,Crematorium,a ._)
Perso n charge must return this Permit to Registrar of his District within
SEVEN(7)DAYS from above date. If no person is in charge,the UNDER-
TAKER MUST SIGN ABOVE STATEMENT,write across the face of the Permit
the words"No person in charge,"and FHB PERMIT WITHIN THREE(3)
DAYS with Registrar of District in which cemetery is located.
EXTRACTS OF THE VITAL STATISTICS LAW
4 37A 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 otherwise disposing of the body; or shall attach the removal
permit to the box containing the corpse when shipped by any transportation
company; *aid permit to accompany the corpse to its destination,,where if
within the state of New York,it shall be delivered to the person us charge
of the place of burial.
380. Duties of undertakerd; Interment within the state. If the inter.
meat or other disposition of the body is to be made within the state,the word-
ing,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 otherwise of the body,stating the name,age,sex,cause of death
and other necessary details upon the form prescribed by the commissioner of
health.
88I. 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. Sach person shall endorse upon the permit.
the date of interment,or cremation over his signature,and shall return all
permits so endorsed to the registrar 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 case 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.
gap'SEXTONS and UNDERTAKERS violating the law relative to the re-
tarn of permits are liable to a penalty of NOT LESS THAN FIVE DOLLARS
NOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The
law will be enforced. Loral Registrars,are required,ander penalty.to repost
riolatione thereof.