Turner, Lincoln This"Stub"to be kept by person issuing Permit:
BURIAL PERMIT.
. Name of Deceased..!4tiyt �......».....
..................Abe,
2. Place of Buria� .
8. Date and Place of Death../., -101 i..
I. Cause of.Death. .:.. .
4 .................. .......
G. Certified by.: ; , .. ..........................
.......................................................ff. A
6. Undertaker,. ,.,, .,., .. ., ...f. .: .......