STATE OF WISCONSIN

BURIAL PERMIT

Penalty for Burying Without a Permit, $20 - $200

Town of Foster 1940

                                                                                  (City, Township or Village)

A satisfactory certificate of death having been furnished to me, as required by the laws of this State, permission is hereby given for the burial of  Ronald Edward Butler

Who died at  Town of Foster                  in the county of  Clark

On May 4, 1940                                the cause of death being  Blood disease

Place of burial:  Butlerville Cem.

                                                                 (Signed by)  Harold E. Durst

                                                                    (Registrar, Deputy or Sub-Registrar)

Undertaker or person in charge                                      (Sexton)

Date of internment: 

                                                                                           (Name of Cemetery)

This permit must be delivered to the keeper of the cemetery where the burial occurs, and should be endorsed by him and returned to the local registrar of his district.

STATE OF WISCONSIN

BURIAL PERMIT

Penalty for Burying Without a Permit, $20 - $200

Thorp, Wisconsin May 5, 1940

                                                                                  (City, Township or Village)

A satisfactory certificate of death having been furnished to me, as required by the laws of this State, permission is hereby given for the burial of  Ronald Edward Butler

Who died at  Foster Township                 in the county of  Clark

On May 4, 1940                  the cause of death being  acute symph-t--- (?) leukemia.

Diagnosis at Wisconsin Gen. Hosp., Madison, Wis.

Place of burial:  Foster Township

                                                                 (Signed by)  D. D. Stookey

                                                                    (Registrar, Deputy or Sub-Registrar)

Undertaker or person in charge                                      (Sexton)

John G. Bogumill

Date of internment: May 5, 1940

                                                                                           (Name of Cemetery)

This permit must be delivered to the keeper of the cemetery where the burial occurs, and should be endorsed by him and returned to the local registrar of his district.