This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Ingvald Nelson Ondal

Place of Death  Stanley, Chippewa, Wis.

Date of Death  9-9-1968          White       Male     68

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butlerville

Location (City, town or country)    (State)

Clark Co., Wis.

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.

Bill Plombon, Stanley, Wis.

To dispose of said deceased as above stated.

                                             Signature  R. J. Mathwig, M. D.

Date  9-12-1968                   Address 

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was             on  9-12-1968          in  Butler 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.