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Whitehouse, Jane * 90 NEW M0.KSFATEOEYARTMENFOFHEALTH Burial' Transit PNOIit NEW MRK lTE DENS Nam Fm Miall Inn Ya .me VUmftom FmIM wre moaam AIR NVr4ralvl EFam. aerztrzom warorDms plaeor Rnn ro:pinl,lwmllunw ,TormwVRI $Wrm Twm $OeelAtltlass 1%SB Rout.BpatM Toan,NW Yvk 1RA0 Manrtol Beale El pAaitlenl ❑Hasmitle ❑w * �elaeamilletl �a n w cRnmM.er lma V Me iolC her Name Tpe Norwvamfift cum. Atltlms POBue=EIIugM Tw ,Nuw YOMI8 trse[mfieare Fl oiaewl NasserRj"Nlmhr c .Tomlorvu BQmmeb 11=l e ❑Runal Om R q.cmnmry or Faim Nne ❑Emamemml Atl wcmm pc� Tom.NMYu wren ❑Relmn DAP place Pe"I°'M antl autlMlMltl M Asse �Tmnepodaeon be wldd eyammnn �M�on Eater ❑eisimamm Dau mllmreAatllm ❑Name Wn FemeMry Amua, NMRISNlatlm RviN.dbn Numea Nnad Furc4Wme Fex Near FurwellMa Wpt9 Asses M Bw 51&Edw Uke,Nua Yp 128N Nam Q FureM HM MA,g Pey tm rm WMm f Remains are SM1i IfOmrMan4bre Amms PAtmlaYOn Is eArwer Nralbd b Nlw of to eanwn IalMlra Eaaulbi Meets aw NMNaYN. om155uN E6RwAA &gi Nard VNl Latia'u VbbBtu Savar/e rE:(turvvmPj.fgwdf Nis Numh IM Mae $puma We, I YaA F milytlwtM1eremainsdlM1ehatleiYi4mPetlaMe ma dr5psld MamNaaeaMMisperi[m W OmdoisFw'nun '1pb Peed Rgmmo w W Q ' m ' Nrmq ynerml gNamedsemnot P.aonl dPemi4e i MPr W siylaou TNe �/a^ LOM95s51NMl pt v PUBLIC HEALTH law 4 AIAS UeaMq burial and removal permits; disposition of remains t No person in charge of any premises op which intennems cremations or other disposition of the body d a deceased person are made shall inter o permit the interment mother disposition d any body unless it is accompanied by a burial cremation or transit permit as prowled in this aside. z (a) The funeral dimcmr or undertaker shall deliver the burial perm@to the person in charge of the place of burial or other disposition before interring or dherwise disposing of the body or shall attach the removal or transit permit to the box containing the hotly,when .shipped by any transportation company,which permit shall accompany Me remains to its destination, where, B within this state, it shall be delivered to fie person in charge of the place of bunal or other disposition (hl Any person orotherentityowning operating managing adesignatedtoreaive the body da deceased person at a place of burial. cremation, or other final disposition In this state, who receHes the body of a deceased person, shall provide a receipt for the body to the funeral director. undertaker or registered resident who delivered such body. Each receipt shall (I) he endorsed by hath such person and the funeral director, undertaker or regulated resident Oil indicate the date Me body was delivered liiil include the name d the funeral director, undertaker or registered resident delivering the body and the registmtla number of such funeral director, undertaker or registered resident liv) include the name d the registered funeral Finn Me funeral director, undertakers registered resident represems.(v) include the me of Me deceased person as it appears on the burial, cremation,or transit permit and (w) include the name of the theer.operator. manager, or person in charge of the place of burial cremation.or other final dispoition who received body d the deceased person. A copy of such receipt shall he ermined by the owner,operator, manager, or person In charge of the place of burial, cremaion or other final tlispmition for a period of not less than far years, and shall be made available for inspection by the division dcemeteries during normal business hours The original copy ofevery such remipt shall be retained by the licensed funeral finn for a period of not less than four years pursuant to the rules and regulations of the department governing the maintenance d records. ;The person in charge of me place of burial orother dispoition shall endorse upon the permit,the date of interment or cremation or other dispoition over his signature, and shall remm all permits so endorsed to the registrar of his d istrid within seven days after the date of i nterment cre mation cr other disposition. 1 Man burying a otherwise disposing of the body of a deceased person in a mmetery or burial plate having no Person in charge.Mefumeral director or undertaker shall (at sign the burial or removal permit giving the date of burin; (bl write across the face d the permit the winds 'No person in dirge:"and Id file the burial or removal pe nitismin three days with the registrar @the district In which the cemetery is lotted 3 The person in charge of the place of buriat cremation,mother disposition shall keep a record do[[bodies interred or otherwise disposed don me premises underhis charge, in each case madngthe time deach deceased person,place of death,data of burial or disposal, and name and address d the funeral director or undertaker, which record shall at all time be open to official inspection UnM+Sat mMIpt N1 pence Health Law see. 4145(2n) 012756 4aeipt Humanremains of delivered on., 20 OdcVew Mt�ery itomoneug fle hmre nam:imtudal P,ermir Funenl Duettpe Reg.ur WgweN