Lambert, Isabelle NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
This Permit can be signed only by the Local Registrar (Deputy or subregistrar) of the Primary Registration District
(Town Village, or City) in which the death occurred after the FILING and acceptance of a CORRECT AND COMPLETE CER-
TIFICATE OF DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. 3C5
Town, Village Registered No.
Dist. No. 32.94 County Oneida or City 1`4ara"e'�i
(If city, ive street address)
Name of deceased Isabel-Ie-y-.Lambert Veteran (If Nveteran, give name of War)
Female Single, married, widowed, widowed Nov.
Sex or divorced (write the word) Date of Death 6i 1965..-
Age Yea 1.... ....Months 2 Days Birthplace...Saratogar..Now•.York
Cause of-Death ""' �9�' `'J`""'oD�
Certificate was signed by _4"""^' C o ^"vt M.D.
Address »Alm ttY . _ ,....ff..ozr- /.
Place of Burial (or Removal) .Q:Z4'-t�.,. .. ... "7Z:,.. .
(If body is to bet pore •{{ eld, II in space later)
Cemetery..... ...ttcYi '� later)
C2i�2rz Date f Btbrial. .l�Y9 19.G.,�'
(If body is to he temporarily eld,� fill in space later)
The Certificate of Death containing the above stated particulars, having been presented to me, after careful exami-
nation,.the same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW,
I have accepted the same for registration, have recorded it in my Local Record with the above stated Registered
Numbe and on the sis thereof I HEREB , G NT ERMIT
Y116.11
to.... .A'.cv,Jit<.'t`.. . ..,,r�r�rris ...� �4�e G�
the /' am ddress) �
�YZ��:Efis to hold temparari and the body
--�,,(Under�taker or p rson ha ng charge of Corpse) (Inter, mo of ispose of [state how])
Dated.. L�frU.��Y.Y 7 19.6. 7 (Signed).....-. -. . ...�
Local Registrar
This Permit is sufficient for the Removal (and Interment or Cremation) of a body to any part of the State (subject to local
cemetery or other regulations), unless removal is by common carrier, in which case a Transit Permit (VS No, 62) is required.
Form VS. 61. (Rev, 6/63) (3A2.323)
ENDORSEMENT OF SEXTON OR PERSON IN CHARGE
OF PREMISES ON WHICH INTERMENTS QR
CREMATIONS ARE MADE
Date was 19—
(Interment or Cremation)
oi
Name of Cemetery, Crematorium, etc.)
Section_ -I-- Lot No. S g Grave _
(Signed)
(Person in Charge)
Address
Person in charge must return this Permit to the Registrar
of his District within SEVEN (7) DAYS from above date. If no
person is in charge, the FUNERAL DIRECTOR or UNDER-
TAKER MUST SIGN ABOVE STATEMENT, write across the
face of the Permit the words "No person in charge," and FILE
PERMIT WITHIN THREE (3) DAYS with the Registrar of Dis-
trict in which cemetery is located.
SEXTONS,FUNERAL DIRECTORS and UNDERTAKERS
violating the law relative to the return of permits are liable to
a penalty of NOT LESS THAN FIVE DOLLARS NOR MORE
THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law
will be enforced. Local Registrars are required, under penalty,
to report violations thereof.