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:  Rochelle Marie Bowen

Place of Death  Eau Claire, Eau Claire, Wis.

Date of Death  November 29, 1947                  White           Fem         1 yr

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Location (City, town or country)    (State)

Thorp, Wisconsin

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.

R. H. Stokes & Sons, Eau Claire, Wis.

To dispose of said deceased as above stated.

                                             Signature  Carol M. Comrie, Deputy

Date  December 11, 1944    Address  Eau Claire, Eau Claire

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried     on Dec 2, 1947       in  Cemetery

Located at  Town of Butler         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.