Stevenson, Margaret This"stub"to be kept by person issuing Permit
BURIAL. PERMIT.
1. Name of Deceased,..'h. : ."
2. Place, of Burial....
S. Date and Place of Death...
&...................
• Cause of.Death:......
,6. Certified by................. • .. .
r ..• .....^e ..i9t4............... .......... A
6. Undertaker . .. ....,�a •� ...... .. .