Labelle, Baby Girl 2 Stillbirth only stillbmrn only
z BURIAL—TRANSIT PERMIT
O MICHIGAN DEPARTMENT OF HEALTH
z No
Infant LaBelle Female Twin #2 / to
Full name of deceased
tr: Cause of death Stillbirth
W
A Place of death Gera see Flint
0 (County) (Township or village or city)
F
rn Date of death Sepielnbgr a ., 1958 19 Race W Sex F Age
z.
Method of disposal B>'ial St._ A1phonus Cem.
(Whether burial,cremation,storage,etc.) (Cemetery or crematory)
W County Genesee � pp State _
l/
Z A certificate of death or stillbirth having been filed as required by the laws or regulations of this state,permission is hereby given
a to Brown & Co. Address. Flint, Michigan
0 (Funeral director or person acting as such)
U to dispose of body of said deceased.
U
e Sept 261 1958
F Signature Date
E, (Check one: El Registrar, ElFuneral Director, El Mortuary'Science Licensee)
CEMETERY OR CREMATORY AUTHORITY SHALL FILLOUT SPACE BELOW
E Bod was � �1./ •� on. 1_Ifi 19_5 1I-.in C,T` - 14../
gy (State whether cremat/�''uried, o ,etc.) (C y or matory)
a Place , . _-GAG Siignature -L Av.() ' ..-
(i�r person in charge)
L This permit must be endorsed by the sexton (or by the funeral director or Mortuary Science licensee where there is no sexton) and
F returned within seven days to the registrar of the district in which the burial takes place.
(OVER)
READ CAREFULLY
REGISTRAR: This burial-transit permit may be issued only upon receipt of a completed death or
stillbirth certificate. Burial permits when endorsed and returned by sexton, funeral director, or mortuary
science licensee,will be filed permanently with the registrar of the district in which the burial takes place.
FUNERAL DIRECTOR OR MORTUARY SCIENCE LICENSEE: The burial-transit permit is
required for transportation and any manner of disposition of a dead body including interment, storage
and cremation. A permit is required for each stillbirth, before disposal of the body.
Under no circumstances shall a funeral director or mortuary science licensee, issue a burial-transit
permit to anyone other than himself,and then only according to the provisions of Rules 4 and 5, "Govern-
ing the Transportation and Disposition of Dead Bodies."
When the body is to be transported by common carrier, the burial-transit permit shall be issued
in duplicate. The original shall be attached to the shipping case in a strong envelope. As a safeguard
against loss in transit, the duplicate, so labelled, shall be mailed to the funeral director at destination,
or handed to him by the escort traveling with the body.
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 depositecLwith him. (The sexton
may accept the permit of any state and of the District of Columbia, as authorization for burial).
All permits must be endorsed, recorded in the sexton's register, and forwarded by the sexton within
seven days to the registrar for your district.
If the body is buried in a cemetery having no sexton in charge, the funeral director or mortuary
science licensee shall sign the burial-transit permit and file it within three days with the registrar of the
district in which the cemetery is located.
B-26-9-52-25M