Crannell, Mary Julia This"Stub to be kept by person Issuing Permit
BURIAL PERMIT.
1. .Name of Deceased.. . . . .. . ,......
............age,,. .
°: Place of Burial-0.....
S. Date and Place of
..... . ..... ..... . ................
1. Cause of Death......: ....;.. ... ....,
6. Certified by.. ... . . ..,, ...........