McLaughlin, Daniel Note:--Registrars are cautioned against antedating permits.
CONNECTICUT STATE DEPARTMENT OF HEALTH
DISINTERMENT PERT
OFFICE OF REGISTRAR OF VITAL STATISTICS.
Vest Hartford Conn., May 12� 1959
The certificate of death or burial permit having been filed and recorded, as required by law, permission is
hereby given to _ Newkirk & Whitney ._ for he a terment of the, body of
Daniel McLaugl linVault J
_.� _.... . now buried in__airview ______Cemetery,
who died on the 14.th .day of March 19__5_9_, from (cause of death) Viral. Hepatitis
and for the removal
and interment of said body in — P' e View Cernetery in Glens Falls, N. Y.N�_�
Town State
Denut
_..�..� _..x. Registrar.
No permit shall be issued in case death was caused y an infectious disease, except by permission under the direction of the town health officer.
General Statutes,Sections 347-348.
Form O-V.S.12a(5-46) 200 Pads •
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