Feinberg, Henry NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
t 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. x3Qx X$& 19
Town, Village Registered No. 7E 77�E7F
Dist. No. 4524 County Saratoga or City Village....of....S.outb Glens Falls
(If city, give street address)
Name of deceased Henry...Fe.inberg Veteran no
(If veteran, give name of War)
Single, married, widowed,
Sex male or divorced (write the word) _married Date of Death ..1.2/.28 19 70.
Age 59 Years Months Days Birthplace New Jersey
Cause of Death acute myocardial infraction,.acu.t.e..c.oronary occlusion, & Artscl,
Certificate was signed by Jo.se.ph...F.eing.oid.,....M..D... M.D.
Address ....F.t......Edwa.rd.,....N..Y... 12.82.8
Place of Burial (or Removal) }�xur.]..c"��..
(If body is to be temporarily held, fill in space later)
Cemetery Saaray:...T.ef.iia....Ceme.tery. Date of Burial 12/.29./7.0 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 J. Craig Sullivan 67 Park St. , Glens Falls, N.Y.
(Name) (Address)
the undertaker to hold temporarily and inter the body
(Undertaker or person having charge of corpse) -Inter, , ye,,9 of wisse dispose of (state how))
Dated December 29 19 7Q (Signed) ` '� ��� 7/ "� L- ;c:L =..c-<,'
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) (3A2-323)