Roseman, Sam DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
BUREAU OF RECORDS AND STATISTICS -.
k 9 15 819 BURIAL-CREMATION-TRANSPORTATION PERMIT
Date ••-.
The Certificat o Death having been furnis ed to this Departure t, �q'rr d bty t 77- y Code, permission is
rreby given to.... - .`�. .. .. f � r- -
remove the re ai o -.. - . ___........_Mos. _...__-•-_-Days,
ho died at_..._-•- --- - - Borough
ity of New York, on ., 19.__ __ .,
Cremetivn* " % r i
r Burial* at ,c _...
is permit must be handed to e Keeper
neral Dir
the Cemetery
in. or
charge Crematof Eh�yye by the /' Borough Registrar
funeral. !
7
Cross out one. Per ..rj
IH(Rev.2/54)-133 Books-703212(55)datip 114 ------__._____
Crematory
Record by Cemetery* Representative
Cremation*
Date of Burial* .4 � 11G
L cationo GGrave �Y .�j -_
"Cross out one. Signature.
EXTRACTS FROM SANITARY CODE,
CITY OF NEW YORK
Sec. 38. No dead body of a human being, who has died in the
City of New York,or any part thereof, shall be removed from the
place of death without a permit for such removal from the Depart-
ment of Health nor otherwise than in accordance with the terms of
such permit..and the regulations of the Board of Health.
Sec. 40. No person shall transport into the City of New York
the dead body of any human being, or any part thereof, without
having first obtained a permit therefor from the department of
health,health officer,registrar of vital statistics,or other authorized
person within whose jurisdiction the death occurred, nor otherwise
than in accordance with the terms of the said permit and the regula-
tions of the Board of Health of the City of New York. If the body
is to be transported directly to a cemetery or crematory, a permit
issued in any state of the Uuited States shall be accepted with the
same force and effect as though it had been issued by the Depart-
ment of Health of the City of New York, provided the name of the
cemetery or crematory is designated. If the name of the cemetery
or crematory is not designated, such permit shall be exchanged for
one issued by the Department of Health of the City of New York.
Sec. 41. The body of every person who has died in the City of
New York shall be buried,cremated or otherwise disposed of,within
four days after the date of death; however,upon application by the
funeral director, the Registrar of Records may extend the time
limitation, and specify how long and under what conditions the
body may be retained unburied.
Sec. 42. No interment, cremation, or other disposition, of the
dead body of any human being shall be made in the City of New
York without a permit therefor issued by the Bureau of Records
and Statistics of the Department of Health of the City of New
York or other authority as hereinafter in this section provided or
otherwise than in accordance with the terms of such permit and the
regulations of the Board of Health. No manager,superintendent,or
employee of any cemetery,mausoleum,vault,tomb,or crematory,or
any other person shall assist in, assent to, or allow the interment,
entombment,cremation or pther disposition of any dead human body,
or aid the preparation of or assist in preparing any grave or place
of deposit for any such body unless such permit shall have been
received. A permit issued by the department of health, health offi-
cer, registrar of vital statistics or other authorized person in any
state of the United States may be accepted in lieu of the.permit of
the Bureau of Records and Statistics provided the name of the
cemetery appears thereon. It shall be the duty of every person hav-
ing charge of any cemetery, mausoleum, vault, tomb, or crematory
in the City of New York,t0 file such permit as a permanent record.
EXCERkPTS FROM REGULATION 1,
CHAPTER XIII, SANITARY CODE,
STATE OF NEW YORK
(2) The transportation by common carriers of bodies dead of any
diseases other than those mentioned in subdivision 3 shall be per-
mitted only under the following conditions:
(a) The coffin or casket shall be encased in a strong outer box
made of good sound lumber not less than 7 of an inch thick. All
joints shall be securely put together and the box tightly closed.
Either the coffin or casket).or the outer box pr case, shall be water-
tight. 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.
(b) When the desti tion cannot be reached within 60 hours
r death, all body ones shall be closed with absorbent cotton
the body placed atice in a coffin or casket which shall be
immediately closed and a coffin or casket shall be prepared as
indicated in subdivision (2-a) of this regulation.
(3) The transportati by common carrier of bodies dead of
smallpox, plague, Asiatic cholera,,typhus fever, diphtheria (mem-
nous croup, diphtheritic sore throat), scarlet fever (scarlet
h, scarlatina), shall be permitted only under the following
-cotions:
1 body orifices shall he closed with absorbent cotton, the body
i I.be enveloped in a sheet saturated with an effective disinfecting
4.d` and shall be placed at once in a coffin which shall be im-
Iiately and permanently closed. The coffin or casket shall be
'ared as indicated in subdivision (2-a) of this regulation.
t