Huntington, Garland NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
trZir This Permit can be signed only by the Local Registrar (Deputy or subregistrar) of the Primary Registration District (Town,
Village, or City) in which the death occurred after the FILING and acceptance of a CORRECT AND COMPLETE CERTIFICATE OF
DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. 14
Town, Village Registered No.
Dist. No. 57.26 County Washington or city Hudson...Falls
(If city, give street address)
Name of deceased Garland R. Huntington Veteran
(If veteran, give name of War)
male Single, married, widowed, Single 10/13/1970
Sex or divorced (write the word) g Date of Death 19
Age 56 Years .Months Days Birthplace New Yo rk
Cause of Death Carcinoma of the lung
Certificate was signed by Richard T. Hogan M.D
Address 325 Main St., Hudson Falls, N.Y.
Place of Burial (orpRemoval' Town of Queensbury, Warren Co, N.Y.
(If body is �inee�i@W1 @II1e cemetery
fillin space later) 10/16/1970
Cemetery y Date of Burial 19
(If body is to be temporarily held, fill in space later)
The CERTIFICATE OF DEATH containing the above stated particulars, having been presented to me, after careful examination, the
same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW, I have accepted the same for registra•
tion, have recorded it in my Local Record with the above stated Registered Number, and on the basis thereof I HEREBY GRANT A
PERMIT
to Riley...Bros.....F> era1...Home ....51...Main...St...,...Rudson.Falls., N.Y.
(
the undertaker (Name) to hold temporarily inter dress)
the body
Dated ndeta Oct..r oiserspq,��ving charge of corpse) ter, remove, . er (state how))
LL JJ 19 (Signed) ..
Local Registrar
This Permit is sufficient for the Removal (and Interment or Cremation)of a body to any part of the State (subject to local cemetery or
other regulations), unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
FORM VS. 61. (REV. 6/63) (9A2-205) 91
ENDORSEMENT OF SEXTON OR PERSON IN CHARGE
OF PREMISES ON WHICH INTERMENTS OR
CREMATIONS ARE MADE
Date dg Lv7�'/t-E�t y` was /" / i 19 6
(Interment or.6s--"uiva)..-.
(Name of Cemetery, Castoatrrium, ctc.)
Section Lot No.k/1/ Grave No.
C/1-i
(Signe ^�
(Person in Charge)
Address
Person in charge must return this Permit tb the" tray'
of his District within SEVEN (7) DAYS from above If no
person is in charge, the FUNERAL DIRECTOR or UNDER-
TAKER 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 the Registrar
of District in which cemetery is located.
SEXTONS, FUNERAL DIRECTORS 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.