Acomie, Harry TRANSIT AND BURIAL PERMIT
1: 7'/ 7s 7
STATE OF NEW YORK
DEPARTMENT OF HEALTH- OF THE CITY OF NEW YORK
This Permit must be prop ' ned and presented, with Undertaker's Certificate, to the Railroad, Express or other
Transportation Agent, before a body can be shipped. ,
L `
New York, _19 __
The Certificate of De hay' g been furptrWed me, as required by the Laws of this State, permission
Vis hereby granted to___ __ gtslder of Undertaker's Lice NQ._!
for the removal and shipment for burial at ----71eal_
e etery at ,2
crematio whe b utawe) CIetl< ty
State of__11 __ ____.the body of l __ _ __ ____uA+,4'_- __ who died in
the Borough of__( "County of _ ., on__f_DO' �, ____, at M.Aged__T_._years months days A%— sex__<' color, the cause of death being
which necessitates shipment under Rule No._ _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.
I e / Ili( -j'1 ice:/ Signed
(Signature of Undertaker) Ass't RegistrarThis Permit must be detached and delivered to the Person in charge of the Corpse.
NEW YORI
STATE DEPARTMENT OF HEALTH / "Z �' ��' '
ALBANY {J „,C� _?/4
SPECIAL ADMINISTRATIVE RULES RELATING TO THE TRANSPORTATION
OF DEAD BODIES BY COMMON CARRIERS
[In effect throughout the State of New York,except in the City of New York,on August 1, 1915.]
RULE 1. A transit permit 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 date of issuance,the name,sex,race 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 of shipment and destination,the mathod 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 shell 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 transportation by common carries of bodies dead of any disenaes other than those mentjoned in Rule 3 shall be permitted
only under the following conditions:
(a) The coffin or casket shall be encased in a strong outer box made of good sound lumber,note less than s of an inch thick. All
joints shall be securely put together and the box tightly closed. Either the coffin or casket,or the otter 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 than s of an inch thick. All joints must be securely put :ogether 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 body 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,ahall 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, 1815.