Daniels, Pricilla This Stab to be kept by person issuing Perndt<
BURIAL PERMIT.
x 1. .N`ame of Deceased.
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R. Place of .Burial,. �r.'��..-
8. Date and Place of De h.
4. t use.o DeatTa.
. Certified lid..... ...... ... ...: ................. .....
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6.i Undertaker...........
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