Gilbert, Viola BURIAL—REMOVAL—TRANSIT PERMIT
H Viola Durkee Gilbert Death due to
C Full name of deceased_....---.............__......_....._._._._.__...__...-_....._._._.........__...._._....___._..._-...... quarantinable disease'...._-n.
z C (Yes or No)
Place of death.-S.aVannah_._.._-...-... Chatham-......__.. ._.........-Ga...... --
rn
W (Cityor Town) (County) (State) (Militia Dist.)
A Date of Death.M—ay._-__2_84 .....19-6. .—.. __--19-._..._.._.... Color...--•----...W._—...Sex_.E.--......_...-..-.--..Age.._._ 81 ---
0
E+ Method of disposai....._..-1 L'c'1nspoI'f'+c` t --0 1................_.......-........_.-..__Glens-.....,E!'.a-1.-ls N .Y.r....-..
m (Whether burial,crematio$, transportation, storage,etc.) (Cemeterfc or Crematory)
z County ..
A certificatecertificate,of death having been filed as required by the laws of this State,
permission
....-.. - permi ion_
is
.......h....e..r...e..b...y.._g....iv.-.e.-.n
a oFox & weeksFetera _Iio_� 6Ol
(Funeral Director) (License Number)
Savannah, Gergior to aipol of the body • e as above stated.
.
(
o. Signed.
X
O Date.....M3. 21/ 119.6.4. ...------. ---- vanxiah_.-.._..... Chat.ham.-.._
8 (City or Town and RFD) (County)
d Y OR CRE$AT UTHORITY SHALL FILL IN SPACE BEI6pyir
E Body was..-- .. - on ._ ... �_._..._._—._.....19/.4 i .-. _G,.,...-.. .;.',.*�� R.
( -whether' buried,storedd„etc.)- / Cemetery or Crem tory) R
located at. / ( 1 . -
SEE OTHER SIDE - Signed...:._._( _ ' . e.jr?2£4
X exton or person i charge)
CC This permit must be endorsed by the Sexto or the Funeral Director where there is no sexton) and
k1 permanently retained in the Sexton's files.
a' *See list on other side.
to GEORGIA DEPARTMENT OF PUBLIC HEALTH
El Division of Vital Statistics
E
READ CAREFULLY
Please become familiar with the rules for the transportation of the dead.
REGISTRAR:This burial-removal-transit permit may be issued only upon receipt of a death certificate;'
not before.
FUNERAL DIRECTORS: The burial-removal-transit permit is required for any manner of disposition
of a dead body including interment, disinterment, storage, cremation, and transportation. A permit is
required for each stillbirth before disposal of the body.
When used as a transit permit for transportation by common carrier, this permit or duplicate thereof
should be enclosed in a strong envelope attached to the shipping case.No separte transit permit is required.
Before shipment by train or express, the body must be embalmed; or if that is not practicable must be
enclosed in a tightly sealed outer case.
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-removal-transit permit is deposited with him. (The
sexton may accept the permit of any state or of the District of Columbia, as authorization for burial.)
All permits must be endorsed and retained permanently in your files.
PENALTY for violations is provided by laws of Georgia. °
QUARANTINABLE DISEASES are smallpox, plague, Asiatic cholera, yellow fever, typhus fever,
diphtheria (membranous croup or diphtheretic sore throat), scarlet fever (scarlet rash or scarlatina),
erysipelas, anthrax and leprosy.