This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Edward Greer

Place of Death  Marshfield, Wood Co. Wis.

Date of Death  March 4, 1965     White    Male    66

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butler

Location (City, town or country)    (State)

Town of Butler, 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.

Don Izydorek, Thorp Wisconsin

To dispose of said deceased as above stated.

                                             Signature  Rev. Plansky

Date  March 5, 1965           Address  Thorp, Clark

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried    on  March 6, 1965  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.