McArthur, Margery DH-VS-35-30M-65 STATE OF VERMONT Permit No
I270,
BURIAL-TRANSIT PERMIT
Permit for Disinterment, Transportation and Reinterment
1.Full name of deceased 2.Date of de
t79 Ogle of . W �? }"L,
3.Color or R e 4.Age 6.Place of death (City or Town) _ (State)
7.Permission Burial „krCremation 0 8.Place of (cemetery 1J I -er.....ter ) .(City or Town) (State)
Requested for: T..,rtpor...r Disinterment 0 dispositign
St9,age----""II Vfh__.! Eel
. 721L4
14 -
9.Name funeral director 10.B ' s dress
1111
11.If temporary PO lace of storage (name of vault) (City or Town) (State)
storage fill
in this section
12.If disinterment Place of (Cemetery) Town) (State)
complete this original burial
section or entombment
Sexton's Signature Date
PERMISSION IS HEREBY GRANTED TO REMOVE AND DISPOSE OF THE BODY IDENTIFIED ABOVE
i natur erk or deputy 14.Ci or Town 2150%, 15.Date
CEt ETERY OR CREMATORY AUTHOR! ES SHALL FILL OUT SECTION BELOW
16.Body was: / 17.Date A (18.Naffneeoof cemetery orcremelory-r 1/9.`S/ection /� 20.Lot No.
CremdIP-Q/ • A <�/'� � _e,r.. ,� �e.e,( 11'�F' 7
Cremated ❑ 2 .Loca (City or Town) (State) 2.Signature Sexton or
Stored 0 --/ of er pe n in cha e
i ' , I-- .."
- i 011/77 4e.e:,.. A2-L{,g7,
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READ CAREFULLY
TOWN OR CITY CLERK: This burial-transit permit may be issued only upon receipt of a death certificate. In special
emergencies, telephone the Department of Health 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.
When used as a transit permit for transportation by common carrier, this permit or a duplicate thereof should be
enclosed in a strong envelope and attached to the shipping case. `!r/
SEXTON: It is unlawful for any sexton, or other person in charge of a burial place, to permit burial or other dispo-
sition of a dead body before a burial-transit permit is deposited with him. (The sexton may accept the permit of any
state or of the District of Columbia as authorisation for burial.)
All permits must be delivered to the clerk of the town in which the cemetery, tomb or vault is located, properly cer-
tified, according to the provisions of Sec. 5215 Vermont Statutes Annotated. Lrood
PENALTY for violation is not more than $500 or less than $20.
SEC. 5212-VSA. Permit to remove dead bodies. A person desirous of disinterring or removing the body of a human
being from one cemetery to another cemetery or to another part of the same cemetery or from a tomb or receiving vault
elsewhere, shall first obtain a written permit from the town clerk of the town where such dead body is interred or entombed.
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