Beals, Baby Boy BURIAL - TRANSIT PERMIT
State of Rhode Island and Providence Plantations Permit Number
Department of Health, Division of Vital Statistics
Room 351 State Office Building, Providence 3, R. I.
PERMIT MUST Name of Deceased first middle last Date of Month Day Year
ACCOMPANY �3�cy � Death_�a
REMAINS TO Jd rAifV.y ,:is 3 4, 1 I61
DESTINATION Sex Color or Race Age Place of Death (city or township) County State
11.,4,e 1 ,i,-te 1 &Iv £ im-c—c9,n eti,'t i, PuviPi.cteince 6t c4
Method of Disposal Place of Disposition(Name of cemetery or crematory;
'` p„m y.,,D p &ity pi town p„lien st4te)
Awl Burial Cremation
`�`� `t .[�tt jar't/[/J
p Removal g Other(Specify) COW � u
SEXTON MUST Name of Funeral Establishment Business Address
RETURN PERMIT
TO CITY OR LeeOnicve C (51Xln"1t U 4 OILd Dt J
TOWN CLERK A Certificate of Death havin
ON FIFTH OF g been filed 1law, permission is hereby given to dispose of this body.
NEXT MONTH S' a of Local Regist City or township Coun/rye ,r Date (Month, Day, Year) ',
' �jj'��// ..Cvi�ti� 20 1.961
At II / . �1 ` 4 4 �. g, fi
t e di ' i s s Tomb Lot l Signature of Sexton or Person in Charge
above occurred on(Date)
/
VS-9 REV 3-59 20M SEE OTHER SIDE
READ CAREFULLY
REGISTRAR: This burial-transit permit may be issued only upon receipt
of a death certificate-NOT BEFORE -or in exchange for a burial permit \;.1
issued at some other place. In special emergencies, you may telephone
The State Division of Vital Statistics, at the expense of the applicant, for ('
instructions.
FUNERAL DIRECTORS: The burial-transit permit is required for any manner
of disposition of a dead body, including interment, storage, cremation, and
transportation. A certificate of cremation must also be obtained from the \ }�
medical examiner for any body which is to be cremated. A permit is required Is
for each fetal death before disposal of the body. "j
When used as a transit permit for transportation by common carrier, ,--a
this permit or a duplicate thereof should be enclosed in a strong envelope
attached to the shipping case. No separate transit permit is required. �`t C}f
Before shipment by train or express, the body must be embalmed;or eti \ ii1
if this is not practicable, must be enclosed in a tightly sealed outer case. C V
1� .
SEXTON: It is unlawful for any sexton, or other person in charge of a i
burial place, to permit burial or other disposition of a dead body before 1`
a burial-transit permit is deposited with him.
In Rhode Island, all permits must be preserved and forwarded to the -
City or Town Clerk where the burial takes place on the fifth day of the . - t i
month next succeeding. t�