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HomeMy WebLinkAbout0687 . T~a~w ~~L. . - .~.y~~~~~ r ~Y?~~~~w~~~~M~M~~V~~.~ - ~ » . . Y= Attaeh pRrt bebw to oetet or eus '"''1 y~ ~~.R., ~s N..~. TRANSIT LABEL ~ s-r-s~.~ow c~c-i~n '~.i ~ : - - , .t - ` NEw YoR~ ~ - ~ ~ STATE DBPARTMENT OF AEALTH ' ' ~ ALBANY - ~ ~T A Trsnait Permi~ ~ Transit l.al?~!l tssa~ l.r tbe I,ocrrl Regtstrar oj l~i~al Sta~isttra ~~us? accum- ~ (pa1~y eQCb de4d body tra~aponed bj? a com~non ~rrier.--Regul~tion 1, aul.ilirulon 1. ~ ~ ~ ~ PERMIT OF LOCAL REGISTRAR . . . DIST. Na........... 15~........... Regiatercd No.............~34..._....... . • ~ • Date oi ieswtKe........~5?X.AIA~~t~....l.Q 1~....~,5 . A satisfactory Certificate ot Dealh hn~ing been Sled and recorded in my otBee for»»..........»...,..»..... ~ ~9,car. James Gilbert..........»~.. w~o d~ed in we.. Town , »ot.._.....~~~~.~~.4a~.....~...........~ . ~ Count~ of».».»..»....»»..»............SL1~~.c31.3[...»....~ $tate oi New York;on~v ~1.l~XE~Bx'.....~...........»..».«»...........1~.....~5i?nd a the body bavin~, been prepared strietly iA aceordanos witb Regnlatiae 1. snbdi~iaion»...»..»..... u c~eed b~r Albert 8, ~ t•~ Set~y ~ H1VeI't1eAd ~ tr .Y . a (i~,«;~. ' . ~ Shipping UndertRker, PEAMISSION I9 HEAEHY GItANTBD ~ . ~ .aan...c s~~,s u.a~,t.~) : ~ . ~ FO$ TAB $TMOVAL AND 3H7PMENT OF.THE BODY OF SAID DECEDENT; Name oi ~~i~~ ~.A~.A~i~......' s~ ~ Point oi ehipmeel.R~V,~rh,~84~.~....~; a».»...».........,..».... ~Potsw ; d~tination.»...~.$.~.tr....~~$X'.GS~.».~....:.~.Q.~~A.».»»»...... ~ ~ ? . i .'1 ~ (SiBnatnre of Loc~l Registrar)»~ . . ~ . ~ - 3 ~ Local Regi~tru oi tha . l.Ot~n : oi»»»»......»Hlvernea.~.........»... natr a!»..~.1~.~JR~ ~ ~ . (Cits.l/~iliye ac Tos~) . ~ ~ ~ Sbte oi N~w Yorlc. , ~ ~ : - ~ ROUTtNG ~ ~ . ~ The Railroad or ot6er Trsbaportation A ent woet eateir I~ereon ~ denerjptioa ot tl~e tkkets heW the p~s~sea~er iw ehar~~~ .o~,We eo~pae, the exaet ronte, snd YIA ~HAT JUNGTIONAL POIN'i'g it reads. - ~ TrwitEPe~it iNs+ned e~ t4Ni.o~ea1 bnrisl dre eoNaisins a oorp~e w~~t ,ww be rrcei~c.1 tor 't•raas~wrbt{oa eoka t4 VK~ Iw eiane I~esewtt ~ Aod7 !as bee. tKepared to~ ii~we~t ~staawducc ~ ISt~Yt~Lw~«tbt ~te. ao ~~i?o W 8~~e r~eo~ei~ u ~h 1/ aa ~~x ~ari~w iis, • 1 ltrv~cs~ fto~ trt ew. r • , fi8•• Da~~ ..«..»«..lY..»....J r•- Fron~.....»... . 8tate of New York, to.:...~ .~C Q".:t~il~teP~...»~»~: State of»»»..a~~-'~~ , ~ Na ot Escort'~ T'ieket...........1 X..,...» lrorn~ Na oi F.~cort'~ Ticltek...»...a~ 3 i Na a? Corp~ T ieket».......... ~e Fo~aa Na oi Corpse Ti k....»..» 3 o I~...................»..........».... 0 IID YL ....~a.l. To ..»..Y ' ~ . Y'~s » • • To ...~[Y ~..~.~»»........»»r~...• .r . 1 ~T r3 # `!..~..:.»..t~.s~»,~.:..~.~'.~,.G.. To .~,.~~,~.::i.o»~l 'h' ~ ~ ~ t~ame a~t Plac~ ot > :s ~ss.~ rpi~s `j ~F• a~y..ta~_. • r~r~. - ~-__4 • _ • _ ij~ ~ • • w ~ ` . ~ - _ ~ • ~q,ED A~~ II~COROE~ . , . ° . - . • - "..3 Sf. tUG1E COUMTY fl . , i ~ • ROCEtI POItRAS • . ` , . ' Ci.EBK CtRCU1T COURT. . ~ - . . ` • ' • ' RECORD YERtFlEO . - • • . ' _ ' • • . . FE8 I~ II ~ pM'~ . ' . .y • . . . - • . S ~ _ . ' ~ . . p ~ . f • _ . ~ i - 2~4'~9 - . . ' ` . ~ ~ . . ~ . . ~ ~ , ' • . ~r. ~ . . , ~ - ~ . soaK 190 _ ' ~ ~ ~ , ~ ` ~ f ~ : ~ ~ ~ . ~ . . . , . _ ~ s~ ~5'e ~i ~ _ 3_ ~ . . _ C ? > - ~ .c-.. ~w_~ ^_3..~.~.