Cameron, William Form VS No.62. 2-16-47-10M (6C-523)
TRANSIT PERMIT
NEW YORK
STATE DEPARTMENT OF HEALTH
\ N AkBANY
it-- 3— A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must ac-
company each dead body transported by a'cornmon carrier.-4-Regulation 1,,subdivision 1.
\ ' ti UNDERTAI R'S' .`CERTIFICATE
•
Lperebg Qler#ifg that the accompanying dead body of WILL TAM Ct^MERON
a Veteran* fQ who died in the Village of Munsey Park
(If veteran, give name of War) (City, Village or Town)o -
a County of Nassau , State of New York, on curie6 a 19..�1, Sex M a e , .x Widowed
DXyICr
aColor or race_ ih.1 e , Age 9a...._years 3 ..months 8days, Birthplace Newburgh 2 NY and Cause of
aaDeath CG.c.r.C.b r u T._.II`.'•S"Q.Tr'1t j'3? has been prepared for transportation
-o
strictly in. -emulation 1, subdivision 2 as printed with this - " '.'. -
3 .__l.drQJ:.4i A, Buti[lan , M.D., Address Manhasset,NY Date of shipment June 7, 1951
19..5. .; Route of shipment ; Point of
d shipment_.. Q_SV Y.Q.rk• 1T.. Y, ; Point of destinati .. Pin View Cem. , Glens Falls, N.Y.
d (Signature of Undertakerr - - InAlla) /L
i Dated u iU G o. 19 r1 Address _.15.7.Q N o r them Bl va. . Manhasset, NY
o *Cross out words not applying.
3 PERMIT OF LOCAL REGISTRAR
4 DIST. No. 29.73 Registered No.
Al Date of issuance .tu.rne. El 19___
A satisfactory Certificate of Death for above decedent havi been file.L nd recoa in my office, PERMISSION
IS HEREBY GRANTED FOR THE REMOVAL AND SHIP NT OF T.,. e% Il,� Deputy
(Signature of Local Registrar)
Local Registrar of the Vi 11 a fAe of Mun s e.r P ark Count .f Nassau
(City, Village or Town)
State of New York.
Only the Local Registrar(Deputy or Subregistrar)may issue a Burial,Removal or Transit Permit
fi' Detach here and give part above to escort or attach to waybill if shipped by express
ENDORSEMENT OF SEXTON OR PER SON IN CHARGE OF PREMISES ON
WHICH INTERMENTS OR CREMATIONS ARE MADE
� � 7
Date e i...--.... .. —1 -et w s .r lg ��
(Interment o men)
r
(Signed)\ .... ..................... 1...-- .: - :--: -
{
` Y '�' f
Person in charge of :y -' lam.",�,.' i{,a�— ..10fr.F'k,Q." - "-J '`.-/ �
(Name of Ceme ery, Crematoriu etc.) s✓
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 cer-
t.of-tie'district in which the death occurred and obtain alsil `nr e ie'aal 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; said permit to accompany the 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 otherwise of the body, stating the name, age, sex, cause of death, and other neces-
sary 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 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 tunes 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.
SEXTONS and UNDERTAKERS violating the law relative to the return 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.
Local Registrars are required, under penalty, to report violations thereof.