Snow, Mary NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
tar 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 CERTIFICATE OF
DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. �4/
Town, Village Registered No.
Dist. No. 5601 County Warren or City City of Glens Falls
(If city, give street address)
Name of deceased Mary Snow Veteran NQ
(If veteran, give name of War)
Single, married, widowed,
Sex Female or divorced (write the word) ..Wido.we.d Date of Death ....June 3 19 ...77...
Age 72 Years Months Days Birthplace...I.taly
Cause of Death Carc.inoma....af bowel....with...me.tastasi.s
Certificate was signed by WiLliam...T.e.des..o M.D.
Address 1.7....Pine....St....,.Glens....Falls.,....N..Y.
Place of Burial (or Removal) ..TQwn..Q.f Queensbury
(If body is to he temporarily held, fill in space later)
Cemetery Pine...: i e ....p.(�meter. Date of Burial June....6 19 ,..7.7..
(If body is to he temporarily a d, ill in space ater)
The CERTIFICATE OF DEATH containing the above stated particulars, having been presented to me, after careful examination, the
same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW, I have accepted the same for registra-
tion, have recorded it in my Local Record with the above stated Registered Number, and on the basis thereof I HEREBY GRANT A
PERMIT
to Regan & Denn s Inc a Quaker Rd. ,Glens Falls, N.Y.
(Address)
(Name)
the Undertake' to hold temporarily and Inter the body
(Und ker or perso -having charge of co pse) (Inter, r ve, or rwi is se of (state how))
Dated ..... 19 :' (Signed)
Local Registrar
This P mit is sufficient for the Removal (and Interment or Cremation)of a body to any part of the State (subject to local cemetery or
other regu ations), unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
FORM VS. 61. (REV. 6/63) (9A2-205) 114,-.81
ENDORSEMENT OF SEXTON OR PERSON IN CHARGE
OF PREMISES ON WHICH INTERMENTS OR
CREMATIONS ARE MADE
Date oA,/%..1l. ,. ' . / was `,/, ,t.,. /. 19
(Interment or-Cremation)
-t au- Grp-L:6 L
(Name of Cemetery, Crematorium, etc.)
41-r-ZACe0 1.
Section ... . No. L C Grave No.
(Signed) / /- 1-1 [ I < < c
(Person in Charge)
Address re. /
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 District 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.