The URL can be used to link to this page

Lauder, John B o Dist. No. "7 S;.' "ATE" OF' NEW 'Y©F. Registered No._-,--- Svc., ,-�.„ BVRIAL PERMIT .A '' A Town ( ) of Fortdznard, Waslzingtozz Counts,µ�- t �.,''1.- __ __19 f� is The Certifier to Death having been furnished to me,:as requited byt the tws of � _ .. ."' ''s v @7z-4,74 C this State,permi.sszon�s` c7 eby given r the Burial cif_ __-- -- , ' Sex__ zvho „tie,/at Fort Bd zvas d, in the County of We slzinyton 1 ,,, at on=------ -- ---- < - ---- _191-�'� the cans o death being - -=i �; 'i _ _. � .�+._ , place of Burialwy$c''_ ---- - .. T ' ° °:1 ' ' ,..g, .,.., Underttcker or person C€i 1�t^ 4!-r in charge of Burial, h „- -�'� Town. Clerk and Registrar of V. S. Residence-- 4 y ,W � } Person '.� 'e "of Bu$al ' z r e r r7tha*ory ni t l dtit tht } a i e same with:`t1e 'Registrar of`°' tat v,�"}' .r seven days after the disposition of the'body, :._ ' i7ate � t rern 'tsen.-_ i �� ,fir°�'� � ��' --' - - ', kg: Y -'-'''''''''*:. . : ,',,;;. :1•''',..,,:,,',:,:e.,,:, P a 1 xl �at.�{t k' Filed " r ,,< egistra.�r.of the "awry"aid Verge of F ,d,TLY`.