(ORIGINAL) TRANSIT RMIT No. Railroad. TRANSPORTATION OF CORPSE STATE BOARD OF HEALTH OF VERMONT Name of Deceased Velius toward Ofer Date of Death Dec 30 19 is Physician's or Health Officer's Certificate (If minor, give parents' name also) Hour of Death 10-10 A.M. Age 46 Years 2 Months 19 Days Place of Death Woodstock Uemeout Cause of Death Uremic Personing Brights Resease I hereby certify that the above is true to the best of my knowledge and belief. C.W.Kidder M. D. Health Officer. Residence Wordslock County of handsor State of Uemount Permit of Local Ford of Health This permit must be properly signed, and with Physician's Ce presented to the Railroad or Express Agent before a body can b d. In the town of Wordste County of Window (City or Town) State of termout on the 18 day of January 1916 Permission is hereby burial Seal Cord given Easpea holder of Certificate of Registration No. 10 to remove for at in the County of Haweak State of mame the body of Valeus Howard ofer who died at Wordstock County of windsor State of Uemont on the 30 day of Drc 19 w A 46 Years 2 Months 19 Days and John oBician is hereby authorized to accompany said remains. Signed C reddu m.p Local Health Officer. RULE 1. The transportation of bodies dead of smallpox or bubonic solutely forbidden. This Permit and preceding\Certificate must be detach vered to the Person in charge of the Corpse.