This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Mrs. Mary Ann Greer

Place of Death  Victory Memorial Hospital, Stanley, Chippewa, Wis.

Date of Death  June 24, 1951      Negroe      Female      56

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butler

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.

R. V. Izydorek, Thorp, Wisconsin

To dispose of said deceased as above stated.

                                             Signature  N. P. Neis

Date  June 27, 1951             Address  Thorp, Clark

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried      on  June 27, 1951    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.