Snyder, Williman H This"Stub"to be kept by person 9swinR Permit.
BURIAL PERMIT.
T. Name of Decease t`w!'.•,t. 2;.�fi .f~c ...
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. Place of Burial... - .. ....
S. Date and Place of Death. ..,,
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4. Cause of Death za .........
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ti. Certified by..�t.�`'�c•-�`�`'`� .
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6. Undertaker. . .,. .,
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