Garrow, Edward 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. f,sc1
Town, Village Registered No. 4 7
Dist. No. 5601 County Warren or City Glens Falls
(If city, give street address)
Name of deceased Edward Garrpw Veteran ....No
(If veteran, give name of War)
Single, married, widowed,
Sex Mal e or divorced (write the word) W1doS.e , Date of Death 9-12-67.. 19
Age 87 Years Months Days Birthplace Glen.s...F.alls,...N...Y_.
Cause of-Death Acute Myocardial Infraction
Certificate was signed by Wm. Tedesco M.D.
Address 17 Pine St. Glens Falls, N.Y.
Place of Burial (or Removal) Town of Queensbury, N.Y.
(If body is to be tepppaor. ltg rilyA d ,ft space later)
Cemetery riU• A1'1PAOn F3 , Date of Burial 8ej2......_..16.s....1967.. 19
(If body is to he temporarily held, 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
Number, n¢ on_the basiereof I HEREBY GRANT A PERMIT
to Donn M. Sullivan Glens Falls, N.Y.
the Undertaker (Name) to hold temporarily and Inter (Address)
the body
( ndert ker or p son arge of corpse) (Inter,rem ve otherwise dispose of [state how])
Dated e�7.• lot � � or 19 (Signed) �
Local R gR gistrar
This Permit is sufficient for the Removal (and Interment or Crema ion) o a body to any part o 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 of 02...6 was_ �619 67
(Interment or Cremation)
(Name of etery,Crematorium, etc.)
Section_ Lot No. Grave No.—
(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.