Anslow, Leona Fin VS No.62. 5.29.51-10M(1C-131)
TRANSIT PERMIT
NEW YORK .
STATE DEPARTMENT OF HEALTH
ALBANY
Wi' A Transit Permit and Transit Label issued by the Local Registrar of Vital Statistics must accom-
pany each dead body transported by a common carrier.—Regulation 1, subdivision 1.
UNDERTAKER'S CERTIFICATE
3 t rretru lfcrtifil that the accompanying dead body of Leona B. Amslow
Veteran* IlQ- who died in the City of ..341.uY.1.a
(If veteran,give name of War) (City,Village or Town)
a
MiNgt
'� County-of .t..L1 .s.et� .e t 28 fema� arrrried
, State of New York,on..........p r s 19•.5.3, Sex
el Col irl r1i v t Age- / a_-- 'Birthplace Glens C1 S FED 1.1_ R _11� o,-3
.a , g years 7 months • days, 'Birthplace - 3.ari use Oi
d Death ....�`�OldQ$18... has been prepared for transportation
e4strictly in accordance with Regulation 1, subdivision twe as printed with this blank. Certificate was signed by
b ...W „ ]lam k . Taller , M.D., Address At.tlecls NY Date of shipment Sept. 3.0
3 1953; Route of shipment..NO.W...XOrt....Ci.0i t .0.1... ... Point of
y; shipment. BA....... .......• .......,t
L.O.'... ; Point of destina 'on Olo...S.•. 111.1.8.4....NY
.n i _�
g (Signature of Undertaker) �.ld e'- 7CXXX
o
^' Dated ?.P-lpt• 30 19...5.3 Addi 532 Best Mg in Stt s
0 -Cross out o ds not applying.
•w Batavia , NY
PERMIT OF LOCAL REGISTRAR
a
DIST. No. aSO]. Registered No. 299
41 Date of issuance S.t'.cplambe.x.... Q.'t. l 19..•5.3
A satisfactory Certificate of Death for above decedent having been filed and recorded in my office, PERMISSION
IS HEREBY GRANTED FOR THE REMOVAL AND T F TH Y.
SHIPM l
(Signature of Local Registrar). F�.., ✓ Wit/ DeDUty Re istrar
N Local Registrar of the Q 1.t Y of • a t. .Y1:4t . ,Count of/ ('ae.q.Q.r.g.0 ,
State of New York. (City,Village or Town)
I
ffIllr Only the Local Registrar (Deputy or Subregistrar) may issue a Burial, Removal or Transit Permit
ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON
WHICH INTERMENTS OR CREMATIONS ARE MADE
F Date of was 19
(Interment or Crematio )
(Name of Cemetery,'Crematorium, etc.) _
Section <7. 01
Lot No [stave No Lr
(/ � y Z° JO
4v
Signature ... _y , . .. �Y .•••� ...� �' ��. �l��c ./;�.i,.. ..
(Person in Charge) (Address)_ V
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, TIIE 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 ceme-
tery 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-
tificate 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; 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 necessary
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 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.
gar SEXTONS and UNDERTAKERS violating the law relative to the return of permits are liable to a penalty of
NOT LESS THAN FIVE DOLLARS;4<NOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law will N.
be enforced. Local Registrars are i 'aired, under penalty, to report violations thereof.