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Huested, Alfred /9 q Form VEL 61. NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT sr 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 Town Registered No... Village Glens Falls Dist, No 5601 County Warren or City (If city, give street address) Name of deceased ,1f'red P. huested Veteran Single, married, widowed, (it veteran, give name of War) Sex G.1.P Color White or divorced (write the word) Married Date of Death �' 'b' 20 1957 Age 79 Years Months Days Birthplace 1J?..b.iazly Cause of Death General Carc noraasos1,s Certificate was signed by lAeli .y..AT.... l;.t.i.Q.l; M.D. Address Q..ezi.,S.'... '.' .1.a,G..,...N.:.fit Place of Burial (or Removal)..T.ONSIXI....Q '...WU.t:.Px1Sb1,1X'y (If body Is to be temporarily held,fill In space later) Cemetery i'3.SI.e .ya,Pw Date of Burial Feb.....?3 1957... (If body is to be temporarily held,fill in space later) Tht;Certificate of Death containing the above stated particulars, having been presented to me, after careful exami- nation, the same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW, I have accepted the same for registration, have recorded it in my Local Record with the above stated Registered Number, and on the basis thereof I HEREBY GRANT A PERMIT to Charles K. Denny Glens Fal. s.,,...N.t.L.t the IIndert ? to hold temporarily and yy.! ,fir the body. (Undertaker or person having charge of corpse) Inter,frstao or se din nose of [state bow]) Dated k Q1). .2.2....1.9.`>.7..19 (Signed) .(/. Local Registrar This Permit is sufficient for the Removal (and Interment or Cremation) of a body to any part of the Slate (subject to local cemetery or other regulations),unless removal is by common carrier,in which case a Transit Permit (VS No. 62) is required. ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON WHICH INTERMENTS OR CREMATIONS ARE MADE c <' ' e" Date of ! was c-�'� '5-3 19S (Interment or Cremation) (NameL.4"i .K44( '''3- of Cemetery, Crematorium, eta) Section Lot No. .%� Grave No. Z (Signed) � /' (person in charge) Address �1-1:-: _....-12.rco. ..a ''' �-� Person in charge must return this Permit to the Registrar of his District within SEVEN (7) DAYS from above date. If no person is in charge, the FUNERAL DIRECTOR or UNDERTAKER MUST SIGN ABOVE STATE- MENT, 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 re- quired, under penalty, to report violations thereof.