This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Paul Morrison

Place of Death  Eau Claire, Eau Claire, Wis.

Date of Death Dec 1, 1972         White     Male       5

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butler

Location (City, town or country)    (State)

Thorp, 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.

Don Izydorek, Thorp. Wis.

To dispose of said deceased as above stated.

                                             Signature  Russell Mead

Date Dec 4, 1972                Address  Thorp, Wis.

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was               on Dec 4, 1972       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.