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.