Neddo, Phillip } 803 I f. N I 3.I...,I_TH.COMM.
R-309-10 �11e (gnmmnnwea1tII of i'i: assaritu, tt, F:;URIAL-L ERMI DEFT. C 0 0 318
*'1 ® i R-309-10 1010 itiil/�::G.AVE. NO v
No. �i ti " BOS(-ON,MA 02118
OFFICIAL DISPOSITION, REMOVAL OR TRANSPORTATION PERMIT DISPOSITION, REMOVAL AND ' `C
(Issued under the provisions of Chapter 110,Section 45,General Laws,Ter.Ed.,a.amended) TRANSPORTATION PERMIT
This permit can be signed only by the agent of the Board of Health(or In towns where there is no Board of Health by the town clerk)of the city or
town In which the death occurred AFTER the FILING and acceptance of a sadsfactory certificate of or typed In permanent black In l - This section to be returned Immediately to the Issuing City/Town,properly endorsed
City/Town `��S� a : 0 '.. / 1. to 4b 5 M
A satisfactorydeath ce to h e filed for (Office.......T
p� issuing permit)
... f c .i. i. �.....'., City/Town of 50 SII N
3l nam ede t •Phil//p
j_i_ aS(S�.
who died o &Wit ... ...US War Veteran (� �� Name of Decedent .....
ofdbo o .r. 71:11,,r/oi
.�� ho reside at If a U.S.War Veter spec' what war,organization,etc.
date o ///¢ 1..
1;qi
. .. rficiJK ENDORSEMENT
4.
��)���jjyyJ� r/,
and who died of ... .0. .t''.l ,/L‘ � i ''yy//..tl �i� t,/�/ �t7t,� (To be filled In by cemetery or crematory official)
give immediate/pause /'
Permission is hereby given for(check all appropriate boxes): I hereby certify that the body accompanying this permit was
[ ]Removal from: fr. disposed of in accordance withits terms,
eine and address of o' dispo t �};,
WnNAYlga-// /� at 43riCU 4.rre C a(.7. l..
� I
[ ]Disposition at: (Name of cemetery or crematory) (City/Town)
ame`andtr(�e(ss o�fe c to 1�/
[ ]Transportation to: ' l t V ,9f/K on .. t'"1'.J‘f�. I xt 70
name and address of immediate tijio mains
Pe ssion is hereby given to: Final Disposition
Wit k
"Iiii 17
nam of facility Certified by •• St afore Superintendent,cemetery
( gn p ry r crematory)
,h`I� address f facility ..
V'/ If there is no officer in charge,funeral director must sign and return tr