This permit must accompany remains to destination

Bureau of Vital Statistics               Wisconsin State Board of Health and Social Services

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Joseph A. Girard

Place of Death  Nelson,  Eau Claire,  Wis.

Date of Death  March 11, 1940                  W                    M         68

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Buried

Cemetery/Crematory

Butlerville

Location (City, town or country)    (State)

Wisc.

A certificate of death having been filed as required by the laws of this state, permission is hereby given to Funeral Director or person acting as such.

S. Plombon, Stanley, Wis.

To dispose of said deceased as above stated.

                                             Signature  Arthur Van Dur—(?)

Date 3/12/40                        Address  Stanley, Chippewa

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was                                  on                         in 

Located at                                     Signature  Arthur Morrison

(Sexton or Person in Charge)

This permit must be endorsed by the sexton (or by the Funeral Director where is no sexton) and permanently retained in the Sexton’s files.