HomeMy WebLinkAbout1950.02.Dorm V. S. No. 25
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
DISINTERMENT PERMIT. No .................wl.(....................
.... ~.. ,.re: ~ ..................................... to remove the
Permisston is hereby granted ........:..::~.:~~C~! .........~ P..........:.o..;~.~..:...:°.~...............
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y .....................:._,..... .... .......... front ..........................................~r,~..............,........_......,...:::..:...........................
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to "°~ •~ ~- ~~•••••••••••s••~•~•••••••• ~••••••••~~ ~ •• •••••••••••••••••••••••••• Said removal to be performed in conformity with the
rules and regulations of the Department of Health, governing disinterments. This permit must be
delivered to the sexton or other person in charge of burial grounds, a is void after the expiration of
seventy-two hours from date.
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•
i Local Registrar.
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Date ........................................................................:...............:.........:!`.....<:.....'~.......
~ Registration District No......1a ~:..d.l .............