Zimmerman, Earl This 11 b"to be kept by P n issuing Permit.
BURIAL PERMIT.
1.. Name of Deceased,..��. ....Llf. `"-••<
2. Place of Burial.. '1 � r
s. Date and Place of Z7eath...
Cause of Deatlz..�*- ,.-��,x�-""................
.... l..• . . -.......
m
6. Certified by. ..............
..........H. D.
6. Undertaker.