Hunt, John NEW YORK STATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
E ' 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.
Warren Town, Village Cityo f Glens Falls
Dist. No. 5601County or City
If city..give streetss
John A. Hunt Yes - 1920- 923
Name of deceased Veteran
(If veteran, give name of War)
Male Single, married,widowed, Widowed Dec. j 79
Sex or divorced (write the word) Date of Death 19
Age 75 Years Months Days Birthplace _New._York___State
Cause of Death .._..__._Acute___coronary t T.rombosi_s...w tYl.._,My.Q_cardial..__infss.rc.t.].onl
Certificate was signed by R..W. Homer M.D.
Address 100 John St. ,Hudson Falls, NY
Place of Burial (or Removal) Town o f Queensbury, N.Y.
(If body is to be temporarily held, fill in space later)
Cemetery Pine_.Vi.ew...Ceme_tery Date of Burial ..De_c...._.1.9 19_.79
(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 & Denny1Inc. Quaker Rd. ,Glens Falls, N.Y.
(Name) (Address)
the Undertaker to hold temporarily and Inter the body
(Unlertaker or person having charge of corps ) (Inter, remove, or otherwise dispose of (state how))
Dated . 19_ (Signed)
Local l( istrar
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. 6/631 (8A2-781
ENDORSEMENT OF SEXTON OR PERSON IN
CHARGE OF PREMISES ON WHICH INTERMENTS
OR CREMATIONS ARE MADE
�' .�t/r/^was C 19
Date of �-?�2C
(Interment or ema
�y dr
(Name of Cemetery, c-rPmatorium etc)
k)t.eit c`
Section - Lot No. __(_ Grave No.
(Signed) / 6k „)
(Person inCharge)
Address 04a 4—/
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.