Kaulfeiss, Mary �1 o DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
1 This permit must be handed to
ERM
the keeper of the Cemetery or 4
Crematory by the Funeral Director BURIAL OR CREMATION P ' �`,i
in charge of the funeral. New York, Si
19
i
a
i The Certificate of Death
hahaving been furnished to ti thh, Department, as required by the Sanitary Code, permission i
hereby given to_.... ......... ....
to remove the remai o _ ' / Aged.. 9Yrs ' 110 --mays,
who died at `'T ro v -
'�s NNE ieM
City of New York, on.
MAR , 19 , fromPEL
aant _ !WM /
For Burial* at -- ---�: . on �� ---S-6�`WSLthK' ......._19
of /1 -ZE Miser
Cause Death M.D.
/
0) Assistant Registrar of Records.
•Cross out one. Per
i
Crematory*
Record by Cemetery* Representative
yfZ�1.l..f Date of Burial l �.. ... �.�.
ytion oe f Grave
�7/ �
F r
.t
Signature.
•Cross out one.
EXTRACTS FROM SANITARY CODE
Sec. 44. Duties of sextons and other persons.—Every sexton and
other person having charge of any crematory, burying-ground, ceme-
tery, tomb, or vault. in the City of New York, shall before twelve
o'clock on Monday of each week, make a return to the Department
of Health, which return shall set forth a record of the receipt and
disposition of each body buried or cremated since the last return,
and which said return shall be in such form, and shall specify such
additional particulars, as the Regulations of the Board of Health
shall require. (S. C. Sec. 170.)
Sec. 46. Regulation 8. Remains of persons deceased from in-
.Sections diseases;caskets to be officially scaled.---All caskets, coffins
or other receptacles containing the remains of persons deceased from
Cholera (Asiatic); Diphtheria; Plague, bubonic; Poliomyelitis,
anterior, acute (Infantile paralysis); Scarlet Fever (Scarlatina);
Smallpox (Variola) shall be sealed immediately by the under-
taker, or other persons charged with the duty of enclosing the
remains with the official seal provided for that purpose by the
Department of Health, and upon said seal shall be stated the day
and hour of sealing, and the name and number of license of the
undertaker. (Amended June 9, 1931, and further amended April
15, 1936.)
Sec.103. Duties of undertakers; Conduct of funerals where death
has been caused by certain communicable diseases.—It shall be the
duty of every undertaker engaged for, or in charge of, the prepar-
ation and burial of the body of a person who died in the City of
New York, of any of the following diseases:
Cholera (Asiatic); Diphtheria; Plague, bubonic; Poliomyelitis,
anterior, acute (Infantile paralysis); Scarlet fever (Scarlatina);
Smallpox (Variola);
or of the bringing of the dead body of any person who died of
any such disease into the said City, to give immediate notice
thereof to the Department of Health. No undertaker shall retain
or expose or assist in the retention or exposure of the dead body
of any such person, and shall immediately place the body in a
coffin or casket and permanently close and seal same in accordance
with the regulations of the Board of Health.
'The funeral services for the burial of a person who has died of
one of the above mentioned diseases shall be private. It shall be
unlawful to invite or permit any person to be present on the
premises where the body is held, awaiting burial, and it shall be
unlawful for the undertaker to permit any person to attend the
funeral, of one who has died of any of the above diseases other
than the members of the immediate family or household and those
whose presence is necessary to conduct the funeral. It shall be
the duty of the undertaker to instruct the members of the imme-
diate family or household to comply with the provisions of this
section. (S. C. Sec. 142.) (Amended March 31, 1931 and gen-
erally revised October 22, 1935.)