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Granger, Arthuur FLORIDA STATEBil Permit HEALTH COFov., c o a c BURIAL—TRANSIT PERMIT re In Ii) in Full name of deceased ( .4( .ii, ..-} .adtedott•i o Place of death iire0 ayt--4/ Florida Florida 0 (City) `cVuntY) 1 ir Date of death 4., oof la Color liz Sex..M Age plr E Method of disposal.. 1 ir ../2224tZdte/.." O ( . ther burial, cremation, transportation, stor e, .) (Cemetery or pse to ) CC ,. County State X..edell c O certificate of death) bee filed s required by the law f this State, permi n is hereby given a. E to.jetetAkkleve g.., License No ./. / O (Funeral Director or person acti as such) U u to dispose of body of id deceased as above stated. - 4 . 7,../I 7 , tiovue _. Date issued.. Signature , 0 (Registrat4 a 1 TERY r Qfti CR4EMAT011Y AUTHORITY S FILL OUT SPACE B W E Body was. in -2_,—,e-t.., (State Whether c e a9tned, 13211stored, etc.I\ 19)72: . emetery „----- -41--2-d—s. t Place..../.‘-, ,-I- r.c - ''.-44-. , 47ignature 4-leg D. i (Sexton or person in charge) iV.S.#640 I-. This permit must be endorsed by the Sexton (or by the Funeral D ector where there is no sexton) and re- turned within 10 days to the Registrar of the district in which the.butial takes place. READ CAREFULLY REGISTRAR: This burial-transit permit may be issued only in accordance with Section 382.06 Florida Statutes. FUNERAL DIRECTORS: The burial-transit permit is required for any manner of disposition of a dead body in- cluding interment, storage, cremation, and transportation. A permit is required for each stillbirth, before disposal of the body. Before shipment by common carrier, the body must be embalmed; or if that is not practicable must be enclosed in a tightly sealed casket or outer case. SEXTON: It is unlawful for any sexton, or other person in charge of a burial place, to permit burial or other disposition of a dead body before a burial-transit permit is deposited with him. (The sexton may accept the permit of any state or of the District of Columbia, as authorization for burial.) All permits must be endorsed, recorded in your sexton's register, and forwarded within ten days to the registrar for your district. TRANSPORTATION AGENT: Be sure that a properly completed burial-transit permit accompanies each body. Do not accept a body for shipment if fluid or offensive odors are escaping from the case. Fill out the attached coupon and mail it to the Florida State Board of Health, Jacksonville 1, Florida, within 24 hours after ship- ment of body. PENALTY for violations is up to $500 for each offense.