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Burial PermitPLAATS STATE OF MINNESOTA REGISTRAR'S _ Township_ No. V oa ���� Permit for Burial or Removal Data Fall Name ,LV Sex_ Disease causing 19 ar o i•S. Medical 1 burial or date ofl� attendant f burial or oval f 193 Place of burl 1 Place of rem T/_-�__ via / Undertakerw_ L!=-` cress F•_--_�- A certificate of death having been filed in my office in accordance with the laws of Minnesota, I hereby authorize the ----. _ of the (Burial or Removal*) body of deceased person as stated above.In case death from a danger- ous communicable disease, the burial or removal m econducted according to the rules of the State and local of h th.Dea � Dated 19� -_4r _— Title -Write "Burial" or "Removal" as the crew may be. Buri permits must be delivered by the Undertaker to the Sexton. Removal permits must he given to the Agent of Transportation Company. and attached by him to box wntaining body. Sub-reeistrars will write "Sub" before the words "Registrar of Deaths" and "Licensed E belmer No. ..below. always giving No. of Lleense. Fine or imprisonment for receiving a body for lurid without permit. Received 19 Sexton Name of Cemetery _ Address 1667— -3-26 2M NOTICE TO This blank constitutes a Registrar's "Burial Permit" or "Removal Permit" according to the manner in which it is filled out by the Registrar. As a Registrar's Burial Permit, this blank must be obtained by the undertaker before any disposition is made of the body. It is the duty of the undertaker to have a certificate of death properly filled out with the personal and statistical facts required by law, to present it to the attending physician for his certificate as to cause of death, and then to file the complete certificate of death with the - Registrar of the district where the death occurred. It is illegal to bury a body in this state unless it is accompanied by a regular Burial or Removal Permit. As a Registrar's Removal Permit, this blank must be obtained from the Registrar, as stated above, presented by the undertaker to the Agent of the Trans- portation Company, and be attached by the latter to the boa containing the body. The Removal Permit is not a Transit Permit. The latter, supplied to embalmers by the State Board of Health, provides for a statement of the proper preparation of the body for transportation, signed by the Health Officer. This Transportation Permit also contains Removal Permit No Transit Permit can be issued by any Health Officer, or accepted by the Agent of any Transportation Company in Minnesota unless a Registrar's Removal Permit forms part of it, or has previously been issued by the Registrar of deaths. ISSUE OF PERMITS BY SUB -REGISTRARS A licensed embalmer, holding an unrevoked certificate of authority from the State Board of Health to act as a sub -registrar of deaths, has the right to issue this permit to himself for burial or removal, under the same restrictions as those governing its issue by the local registrar, except in cities and villages which have a local ordinance requiring that all burial permits and removal permits be issued by the local registrar. The certificate of death, fully made out in ink, and signed by informant and physician, must be in sub -registrar's possession before he issues the burial or removal permit, and the death certificate must be delivered by the sub -registrar within five days to the local registrar of the district where the death occurred. The local registrar in a city is the health officer; in a village, the recorder; in a township, the town clerk.