Donelan, Joseph COMMONWEALTH OF VIRGINIA BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
DEPARTMENT OF HEALTH RICHMOND. VIRGINIA
ei
o
OUT-OF-STATE TRANSIT PERMIT
a FULL NAME AGE
OF DECEASED I
,9 JOSEPH JOHN DONELAN 80
2 PLACE OF (City or County) DATE OF (Month Day Year)
A DEATH WilliamsburdIrIRGINIA DEATH September 27, 1979
\ Q SEX RACE OR
V. Male , COLOR Caucasian
8 DESTINATION TO WHICH (City or (State)
o REMAINS TO BE SENT Glen Falls, N.Y. -
vm a A Certificate of Death having been filed as required by the laws of t e, o conditions outlined
cn ; regulations having been complied with, permission is hereby given to:
8
j s Funeral
i a Director BUCKTROUT OF WILLIAMSBURG Address 1120 Ironbound Road
Willia msburg
E• _ To transport said deceased as stated above.
m DATE REGISTRATION SIGNATURE OF /
— ISSUEDQ, l5 DISTRICT NO. �U REGISTRAR 1 , ‘4..., --D---) . 442