Stewart, Abbie Amanda This"Stub d be kept by person issuing Permit
BURIAL PERMIT.
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X. Name.of Deceased.. ..ar3t^ ,,- . �ra�K,.
7..............Arge, -,,y.
R. Place, of Burial.A ..ee..
S. ,Date and Place of Death.
. Cause of Death..f ... .... ....
.. ........ .............................................
6. Certified by... .,k ; - ......
.......................................................f A
G. Vndertaker. . ::. ...