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Parent Jr., Arthur NEW YORK STATE DEPARTMENT OF HEALTH OFFICIAL BURIAL (OR REMOVAL) PERMIT 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. _30 56°1 Warren Town, Village Cityof Glens Falls Dist. No. County or City If city, give street address) Name of deceased Arthur J. Parent,Jr. Veteran No (If veteran,give name of War) Male Married Single, married,widowed, Sexor divorced (write the word) Date of Death June 4 19..7_9_ Age 71 Years Months Days Birthplace Massachuseetts Cause of Death Acute myocardial infarct Certificate was signed by Saul Yafa, M.D. M.D. Address 183 Ridge St. ,Glens Falls, N.Y. Place of Burial (or Removal) Town of Queensbury, N.Y. (If body is to be tern orarily held, fill in space later) Cemetery Pine View Cemetery Date of Burial Jule 7 19.29_ (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 & Denny,Inc. Quaker Rd".Glens N.L (Name) (Address) the Undertaker to hold temporarily and r Inter f the body (Unlertaker or,perspn having charge of corpse)_�- (Int , emo�, or ot114er-ise ispose of (state how)) Dated l.. / / 19__/ .. (Signed) 71_s_�2 It_mod_ t �-. � / Local R istrar / "ii This Permit is sufficient for the Removal (and Interment or Cremation) of a body to any of the State/(subject to local cemetery or other regulations),unless removal is by common carrier, in which case a Transit Permit (VS No. 82) 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 was ' / 7 19 7f (Interment or erteiationl.. (Name of Cemetery, Spivaetttifum, etc.) Section - Lot No. 'T//' Grave No. (Signed) (Person In Charge) 4 Address '( 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. NAME Parent , Arthur J. , Jr . Age: 71 Cause: Myocardial Inf . Lot Owner: Dennis Abbenante Lot # 46 Oneida Grave # 1 Case # Concrete Died: 6/4/79 Interred: 6/7/7 9 Undertaker: Regan & Denny ASSENANPE Lot No. 1i6 Address 10627 Washington Rd., So. Glens Falls, N.Y. Section No. Owner Dennis Abbanante Plot Qneida Date. 6/7/79 135 Superficial ft. @ $500.00 Location Bounded on the North by Vacant, East by Path, South by Trackey, West by Vacant Corner Posts Remarks Deed No. (and changes) 1537 Payment Record Paid in full 6/7/79 Form No. 01 Record of Interments Ark Hai[ Arthur d_ Parant Jr, 4 A/7/79) 5 2 Dorothy Mae Parent 7/15/97 6 :fl hnrah Wpi nhprgpr 1 (l/1 n/701 9 P/S 4 Stephen Carl Weinberger nnD 17/7/20a08F/S 19e , /f � x � x -FA -rr