Garvilla Jr., Joseph B. NEW wlac STATE oernan ENTov xuLT Burial- Tramsh Pomlk
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PUBLIC NPAOH IAW
§ AUS Deaths; burial and removal permits; d position of remains.t No person in edge of any Premises on whits
treermen4 aemaaipns or other disposition of Me body of a deceased person are made shall inter or peons Me
treatment or other disposition of any body unless it is xmmpanied by a burial, cremation an uan fit pesmit.as provided
in this amide.
1(at The funeral director an undertaker shall deliver the burial permit to Me person in drags of Me plea d buriala
either dapos tim helms interringa aherwiw disposing 4 Me body or shall Mach the removal or transit permit to Me
bon meta bring Me body,when shipped by any Vanspmation company,wh ich perm it shall aaom pan y Me remains to ih
desefinamorm where. g within his state it shall he delhered to Me person in datge of Me oboe of burial o other
daposnion.
Ud professor adherentity owning operating managing or hatinaled toreceixthe bodydadeceased peecon da
piece of burial cremation, or other final distortion in this state, who reams Me body of a recessd perm, shall
prwih a receipt for Me body he Me funeral director, undertaken an registered resident who delivered such body. hacM
receipt shall if be endorsed by both such person and Me funeral director,undertaker a registered resident,(a)indicate
the dare the body was de6rrvm , liii) include the name of Me funeral director, undertaker an registered resident
delivering Me body antl Me registration rumored such funeral director.undertaker or registered resident (ie) include
Met name of the re iineredfunerialfmm Me funeral director.undertakerorepitered residual represents,(a) include Me
name of Me deceased person as it appears on Me burial.cremation,or transit permit and (vil include Me name of Me
owner.operator, manager.or persm in charge of Me piece d burat aematwn,on other final disposition who reabed
Me body of the stressed person A copy of such receipt shall de retained by the owner, operator, manager, or person n
Marge of Me piece d burial. co matim,a other final communism for a period of not less than four years and Mall be
made available fa inspection by Me division d cemeteries during normal business hours The mount copy of away such
receipt shall be shire ! by Me licensed funeral firm for a peflan of not less Man lour years pursuant to Me toes and
regulations of the department governing the maintenance d retard&
y lie person in charge d Me pore d burial an other disposition shall enforce upon Me Permit the date dnfement
an contains m other diymifion over his signature. and shall return all pemhies so endorsed No Me registrar d his
duVidwihin seven days zflerthedaMd interment aemadm mother dispmdim.
4 when burying or otherwise disposing of Me body of a deceased person in a cemetery or burial place having no
person in charge,Me funeral director or undertaker shall led sign Me burial or removal parmn,giving the date d burial;
(b) write across to face of Me permit Me words 'No person in dome, 'and lot file the burial or removal permit within
Move days with Me raincoat d Me district in whkh Me cemetery is loand
$the person in charge of Me piece of burial,transaction,or other disposition shall keep a record of of banes Imemd an
dhewise disposed dan Me fussiest under his drag%in each use starmil name death deceased person piece of
deatp data of burial or disposal,and name and address of Me funeral director a undertake, which record shall at all
But b open to official inspection.
mNg55 mlrel phorz
Public Health Lew sec.alas(zb) JJ_ 974
Receipt
Hum®remains of _ delivered on . 20
i.
Fine Y<w Cemnery Representing he funeral homew 4..cp pamY
plFaftl Fuaml �Uecbn Reg.or Lice
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