Bayley, Helena BURIAL CERTIFICATE FOR CREMATED REMAINS
Issued by
MOUNT AUBURN CEMETERY - CAMBRIDGE, MASSACHUSETTS
I hereby certify that the burial permit and the medical examiner's certificate prerequisite
to cremating the body of Helena Louella Bayley
late of Newton Centre, Massachusetts have been duly presented, the
same showing that death occurred at Boston, Massachusetts on August 31, 1952
and Myocardial infarction _as the cause thereof.
Age 68-5-21 Date of Cremation September 14.2 195n2 �CremmationnNumber 21783
Date September Li, 1952 =�� f
Superintendent in charge of Mount uburn Cemetery
YYl
C1ommuunrettlt. of 13 afaarhulietts
Middlesex ss. 19
Then personally appeared the above-named
and made oath to the truth of the foregoing affidavit by him subscribed.
Before me
Notary Public
NOTE—Acknowledgment required only when cremated remains are shipped out of the U. S. A.