Griffith, Mildred THE LEGAL FEE FOR THIS PERMIT IS S CENTS
STATE OF NEW JERSEY BURIAL OR REMOV PERMIT y o m
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(City, b h or townsh p and te) ,.m C
The Certificate of death havin_ •:•n furnished me, as required by the laws of this State, permission is p,F2•C.
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hereby given for the burial of__------------------_-----_-__-( —_____—_ - e
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Years I Months Days p m DO t
Age6. 9
who died in a A
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Cause of death -- - — — 8 a
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Place o f burial — " ,r�'y
(Name of cemetery) (Location) 1` •<•,-lo p
F al Director o p o P
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(Address) (Registrar of Vital Statistics) a o a
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PENALTY FOR BURYING WITHOUT A PEISMIT,'$5 TO $100
STATE OF NEW JERSEY
BURIAL OR REMOVAL PERMIT
Name of Deceased
Date of Bunal
ure of Keeper of Cemetery
•
This permit must be delivered to the keeper of the cem-
etery where burial is to take place, who should fill in the
spaces above and forward it within ten days to the registrar
of the district in which the cemetery ist located. Registrars
are usually health officers, city and borough clerks and
assessors of townships.
When burial takes place in a cemetery which has no
person in charge, the spaces above should be filled in by
the funeral director, who should write "no person in
charge" on the line for signature of keeper of cemetery
and file the permit with the registrar of the district in
which the cemetery is loca1!d. The law requires that this
be done within ten days after burial.