Barber, Sarah BURIAL - REMOVAL -TRANSIT PERMIT
Place of Death:
FLORIDA STATE BOARD OF HEALTH
7 County BUREAU OF VITAL STATISTICS
W
' o. Precinct • •
_z City or Town NUMBER OF PERMIT �!! o `S
H Name of Deceased __ __. Age _7 Se Cole_
Date of Death -. _ ,19Y , Name of Cemeteryn or Crematorium
mRemoval to: City ek- -- State .. •
°C I hereby certify that I have prepared for burial or other disposition, the body of the ove named deceased strictly in
a accordance with the laws of the State of Florida and the Rules and Regulations -the State Board of Health of Florida
governing the di position of dead human bodies.
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mFirm Name d____0 (Signature icense No./el
o (FUNERA IRE CT )
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A death certificate having been filed in my office, permission is h y granted for the burial, tra sportation, cremation or
placing in vault (cross out words that do not apply) of the bo e above name eceased.
a (Signature cal Registrar
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