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Fauche, Isaac
This`F Stub"to be kept by person issuing Permit. BURIAL PERMIT. 1. Name of Deceased. �f?��,... • a .Place o,f Burial.� . ,G.t.L' ........ . .Date and Place o,f Death... .......... .... ...... 1�. Cause of -. 5. Certified b ff.`P.