Brown, Sylvia Odell This`�Stub"to be kept by person:twuing Permit.
BURIAL PERMIT.
1. Name of.heeeased. ,o
-A d ............. ge,. .(P.
, ... Place of Burial..
8.`Date and Place o Veath...
i
4. Cause of.heath...
. Certified by. ... .:..
.... .... .... .. } ....
. H. D.
G. Undertaker.a.