Eddy, George MISSOURI DIVISION OF HEALTH
JACKSON DEPARTMENT OF PUBLIC HEALTH AND WELFARE
County VITAL RECORDS Permit No.. 3
Township YAW REMOVAL PERMIT Reg. Dist. No.___ Y7
or Prim. Reg. Dist. Nolo 02_-
CityKANSAS CITY
Full Name MRa____GEt?RQE___S...__EDDY A .89.XRSS x__ LEColor..WBITE
Disease Causing Death.__.. . t�uf
Removal to FORT EDWARD . EW YQRK Via -T-& SANTA 'E _R R.R.
Em.balme r._Y_ ,ka l___LAWLER Address KANSAS___CITY,___MI_SS.O I
A certificate of death having been filed in my office in accordance
with the Laws of Missouri, I hereby authorize the removal of the body
of said deceased person as stated above.
Dated JAN„ 2.5T1.__ , 1962 Registrar's Name
Reg. P. O. Address KANSAS___Q_ITYi___ .1LSSOTJRI
Allen the body is to be shipped to a distant point requiring the services of a common carrier in addition
to the removal permit, th y m st be a companied by a transit permit.
Sexton's Signatur k v '�( �'_ `L-e- Date of internmen - -2-Y 19 __
This permit must be endorsed by the sexton and returned to the Local
Registrar named above withinten days. If no sexton, person conducting
interment will sign.
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