Hodgins, Edith terra No.6! 'Yott
STAn DEI' 4 �.-,
�x j
. , „ ,,, , OPFIC I .1RIA
fie Permit can be,ter`d; the N l ieNG of the Prieeeey a 8iosere-
COR
� � / hit (T ,Vi e, •_ ) �,.�� t '` th fir!fir' NG n of a(:9R
ERT -E .: DhPa .
�, _ � * yid
, '., I; .'far '. to of is }
.r c mod.
tirf .-,.(d° r� a�e YES Cootor.. a�.
roir -t t I ,'„, or s .) ,
- - 7-,--4,-,-, ,
P3ace of Ditiat4. 7.°21 e
(or Removal), A �4i. , .�f £ <>f
A CER' 'ICATE OP DAATIi of ,'a' " t..'` :.
L� t�_� s veti}!i xe a d
-_'havif-been ., 4 ted=to'at- •a.taming th 'r. e sta, lars,.- d afters,' -�71,G c i ln4lon 1
the s ie .a� sg to r• *di" .LET _ 0 v S • Y`A I XRE AY'
e f Rst . h d ' Bed wxtl!=
:,‘,,„:„,•._4., ,:„....4_,....;....,1_, ...,_,,,, _,,-, ,
' ctrE" I a mom+
T P t is auffteiritt for tt►e Ftetnera[fed to - or Cr tit�to at#I tMrt of Alb*.State (e t t at c ry outer t ►iatians). - # f+rh li tir iv�CIA ? #
-the above Haupt is sd d Jtba- ftanel! .erntit. *. ._..
10.24 E8 64,OD0 t8k } •J
Y ENDQ -i * AT, F.. SEXTO T ...O PERSON ' k
C r MISES Old IC i IN R-
TS O MA' MAC
3 Date of.,,.':. • "G l 't,.., F ---'sg
(late--ueat or
(Signed. -+r= f ., '. «► .'i�' .....-='�.3
rx
is charge> -•t ' ....:_.—
^- of,CenzeteT) etc.) �
Person,In charge must- "this"Permit to ar of`his Districct within ;
SEVEN i?DAYS from above,date Ti nu per ,isa a charge,the UNDER..
TAKER SIG N ABO E TEMENT.'� tile4itGe of thie Permit
:the words"No in ' d PILE"PA ���'(3k
PAYS hill 0 « i which cemetery is"located.• j
EXTRA S PROM P Z9X3,,¢,ccChh s r, LE s0. ,
f s ,sha eery theme
1�emova
t any n u: ,yYr # reha,,
Lver e burial pe tc the person in cba�rg'e of`thAl t.the 1,before
interring or o ,• matdispos ' or tech'the removal
1
r.,. *4 -- Ditties of un '� f If the i ter.
meatregint o Outlet
post ant. th ' ,t'<be made • tie state,the
smB 9 0 over' perms be it a e ofed eat by s
Signature :t tisoaetgryw cafe of,math remove
,s,
,, sp„ee ciao of the — e iizt rat
toother necessary details p of
z
I >iiI. 'Data: N ** ; Y �0# 3
•Hof ti uto..� a"�r i= ati or
a sc d'
perthit 1st • '
.,,� r + e
of` in,
oorr otherwise ?n:tl . case
and enname l tO a3 of�. '.4a f or
charge;of the.,•corpse wheat ., .wtg gi
wing no on in .. 6
the date of burial sand sh� face of y t ,s, ;
person in a val days b
the registrar of t m vwh C ''° .. . .- ul
5
h O•!
l
ts ir i..r Yi
axe i 1} a riatisneof,