Craig, James This"Stub"to be kept by person issuing Permit.
BURIAL PERMIT.
1. Name of.Deceased.... . .. . . ... pp--. .
................... ....................Age,...C 1..
.2. Place of Burial.....,.
. .Date and Place of Death.. ....,�
.......... ,
4.. Cause of.Death....
....................e...eI�SJ�.:7... .
S, Certified by.. .....;
......................................................M L.
6. Undertaker....