Fraser, Hugh BURIAL — REMOVAL — TRANSIT PERMIT
Permit No.: Death Due to Quarantine Disease? ❑Yes No
z Full Name of Deceased:Savannah Hugh Henry Fraser
Place of Death: Ohatham Georgia
E. (Ci;y)r (County),. ., (State) +7
z Date of Death J ctti , 1977 Race ,H Sex I Age 7(
METHOD OF DISPOSAL: 0 Burial ❑ Cremation EX Transportation 0 Storage
wGl 0 Donated to Medical College 0 Other
p A CERTIFICATE OF DEATH,HAVING BEEN FILED AS REQUIRED BY THE LAWS OF
E. THIS STATE,PERMISSION IS HEREBY GRANTED TO:
cn Carldton Funeral Home
d
(License No.) k GOn Falls,s Ne4 ork
(Ad ess— 1 y— .2
tz4 ^--hr +^^ C . L.R.
z Date: Jan 10, 1977 Savannah, Georgia Chatham
(City/Town) (County)
Oa CEMETERY,CREMATORY OR COLLEGE AUTHORITY S L IN BELOW:
1 BUr1Pe 1/ Jul
Body was On 19
Ud (Buried,Cremated,Received)
E� At Pineview Cemetery, Town of Queens ry, NY
cn,* (Cemetery,Crematory or College)
Located At:
E. Signed: `
(Sexto or person in charge) )
ww This permit must be sig ed by the Sext n,or the Funeral Director where there is no Sexton,
a.
a. or authorized college personn d perm nently retained in the Sexton's, funeral home, or
college files. SEE OTHER SIDE
F-i
GEORGIA DEPARTMENT OF HUMAN RESOURCES
OAS(5)-34 Vital Records Unit
(Rev.6-76)
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 fetus disposed of by a funeral director.
When a body is donated to a medical college it shall not be embalmed.
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
separate 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 R
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 diphtheric sore throat),scarlet fever(scarlet
rash or scarlatina),erysipelas,anthrax and leprosy.
OAS(5)-34 (Rev.6-76) (Reverse Side)