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TRANSPORTATION OF CORPSE.

Transit Permit No.......

PHYSICIAN'S OR CORONER'S CERTIFICATE.

Name of deceased...

.Date of death...

(If a minor, give parents' name also.)

Hour of death.....M. Age.....Years. . . . . Months.... Days....Place of death...

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..Cause of death....

.disease.

(Communicable or noncommunicable.)

I hereby certify that the above is true to the best of my knowledge and belief.

.M. D. or Coroner.

Residence........County of.

of....

State of...

PERMIT OF LOCAL BOARD OF HEALTH.

This permit must be properly signed, and with physician's certificate presented to the railroad or express

In the....

agent before a body can be shipped.

.of..

(City or township.)

.County of....

State of... ....on the........day of. ..day of..........190..

Permission is hereby given..

Embalmer, to remove for burial at.......

.Undertaker or

.in the county

of.......... State of.... ....the body of...

who died at..

.County of...

State of..

...on the......day of.

.190..

aged....years . . . . months....days and.

.

is hereby authorized to accompany said remains. (Seal.)

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These duplicate certificates must be presented to the local Board of Health for approval and then sent by the shipping agent to the general baggage agent of the initial line, and by him to the Secretary of the State Board of Health.

CERTIFICATE OF UNDERTAKER.

I hereby certify that the accompanying dead body of .consigned to. . . . . . . . in the county of...

(If a minor, give parents' name also.)

State of....

..and who died of..... . . . . has been prepared by me, strictly in accordance with rules of the State Board of Health of Tennessee, for transportation by railway or steamboat.

Residence

Shipping Undertaker.

(SEAL)

PASTER.

Transit Permit No......

Station baggageman must enter hereon a description of the ticket, the exact route and via what junction points the ticket reads, which is held by the passenger in charge of the remains.

Special Instructions-A burial case containing a corpse must not be received for transportation unless the person in charge of the remains presents a certificate of the attending physician or coroner, a permit from the Board of Health and an undertaker's certificate that the body has been prepared for burial according to the law of the State. Neither will it be received if any fluids or offensive odors are escaping from the case.

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(Rules and Regulations on Consumption and Instructions
as to Room Disinfection will be found on pages 204 to 210.)

PERSONNEL OF

COUNTY AND CITY BOARDS OF HEALTH

OF TENNESSEE

PERSONNEL OF COUNTY AND CITY BOARDS OF HEALTH IN TENNESSEE.

(Section 1 of Chapter 95, Acts of 1885.)

"SECTION 1. Be it enacted by the General Assembly of the State of Tennessee, That hereafter the County Judge or Chairman, County Court Clerk, and the County Health Officer, or Jail Physician, are hereby constituted a County Board of Health,' with the Jail Physician or County Health Officer as President.'

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COUNTY BOARDS OF HEALTH.

ANDERSON COUNTY

Dr. J. Sam Taylor, County Health Officer, Clinton.
Judge Clem J. Jones, Oliver Springs.

W. B. Disney, Clerk, Clinton.

BEDFORD COUNTY

Dr. F. B. Reagor, County Health Officer, Shelbyville.
Judge W. E. Gant, Shelbyville.

P. C. Steele, Clerk, Shelbyville.

BENTON COUNTY

Dr. F. G. Hudson, County Health Officer, Camden.
Judge W. T. Morris, Camden.

W. D. Cooper, Clerk, Camden.

BLEDSOE COUNTY

Dr. J. P. Barnett, County Health Officer, Pikeville.
Judge J. R. Collier, Sequatchie College.

W. A. Barber, Clerk, Pikeville.

BLOUNT COUNTY

Dr. J. A. McCulloch, County Health Officer, Maryville.
Judge James F. Beals, Friendsville.

Clay Cunningham, Clerk, Maryville.

BRADLEY COUNTY

Dr. R. L. Bean, County Health Officer, Cleveland.

J. K. P. Marshall, Chairman, Cleveland.

Jacob Smith, Clerk, Cleveland.

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