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Flynn, Edward NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT agr 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 CERTI- FICATE OF DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK. Registered No. /5-- T.ow ,-file Dist. No. 5601 County Warren or City Glens Falls, 42 Ffidge St. If city, give street address) Name of deceased Edward C. Flynn Veteran Yes ., . .. , ITp.Korezr (If veteran, give name of War) al e Single, married,widowed, Married Sex or divorced (write the word) Date of Death 9/27 19 Age 65 Years Months Days Birthplace Ne.; York State Cause of Death Cardiac Arrest, Pulmonary Eder.: --- Certificate was signed by S. Richard Spitzer M.D. Address 90 South Street, Glens Falls, New York Place of Burial (or Removal) Town of Queensbury, New York (If body is to be temporarily held, fill in space later) .,r Cemetery -,non sus cemetery Date of Burial 9/30 19 ' ' (If body is to be temporarily held, fill in space later) 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 registration, have recorded it in my Local Record with the above stated Registered Number, and on the basis thereof I HERE- BY GRANT A PERMIT to Regan c& Denny Funeral Service, Inc. Quaker Road, Glens Falls, New York (Name) (Address) the J'ndertaker to hold temporarily and Tn r--: the body (Unler er or a on laving charge of corpse) (Inter, remov r otherwise dispose of (state how)) Dated ' d � - ) 19 (Signed) 1 'n `, C`' cal 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)(7A2-53) ENDORSEMENT OF SEXTON OR PERSON IN CHARGE OF PREMISES ON WHICH INTERMENTS OR CREMATIONS ARE MADE Date of 'U"^P was 4e;�^.�t, ='O 19 7 (Interment or Crematin) jit, CQ ;. .144/-4-/ -614 2 tee (Name of Cemetery, Crematorium, etce Section Lot No. ' Grave No. - (Signed) (Person in Charge) ,�J Address ^- ?� 41•e-tt cL ' ��y ,L4 �76led -7)-8 r r 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 UNDERTAKER 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 UNDER- TAKERS violating the law relative to the return of permits are liable to a penalty of NOT LESS THAN FIVE DOL- LARS NOR MORE THAN FIFTY DOLLARS FOR THE FIRST OFFENSE. The law will be enforced. Local Regis- trars are required, under penalty, to report violations thereof.