Flynn, Mary Roberts I1
This"Stub"to be kept by person issuing Permit.
BURIAL PERMIT,
1. Name of Deceased. .. 0 . . ..
.2. Place of
S. Bate and.Place of Deaa�`.....�f�....
- . .
/, Cause of Death.... ,
.....................I.............................
5; Certified by ....414. -ti
X. D.
6. Undertaker. �