This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Sarah Morrison

Place of Death  Twsp Seymour, Eau Claire Co., Wis.

Date of Death Oct 1, 1960             W          F     80

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butlerville

Location (City, town or country)    (State)

Twsp Butler, 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, Wis.

To dispose of said deceased as above stated.

                                             Signature  Mrs. Myrtle Bodumill

Date Oct 3, 1960                 Address  Thorp, Wis.

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was buried       on Oct 4, 1960     in  Butler Cemetery

Located at  Butler, Clark Co.      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.