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Bly, Hannah
Y :. This"Stub"to be kept by person issuing Permit BURIAL PERMIT. { 1. me of Deceased.. .lY ey. 2 Place of Bur' • 8. -bate and Place of Death. Y 1. Czcse of Beat -., ......,.. 6. Certified ley.. ; ,. f -b. 6. Vndertak ....Aa ....