This permit must accompany remains to destination

BURIAL --- TRANSIT PERMIT

Michigan Department of Health

Full Name of Deceased:  Harold E. Reineke

Place of Death  Cass, Silvercreek

Date of Death  February 16, 1960      White     Male    53

Cause of Death  Internal Hemmorrage

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Removal

Cemetery/Crematory

Butler

Location (City, town or country)    (State)

Clark, 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.

McLauchlin Funeral Home, Dowagiac, Michigan to

Thorp Funeral Home, Thorp, Wisconsin

To dispose of said deceased as above stated.

                                             Signature  Glenn A. McLauchlin

Date  February 18, 1960      Address 

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried   on Feb 20, 1960     in  Butler

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.