Nuelhuen, Charles w
t.
HOS TOlYIA
corm:wk.
1550.
Cull of Boston—Wratti l Eloartittrtit
OFFICIAL BURIAL (OR REMOVAL) PERMIT
(Issued under the provisions of chapter 114, General Laws)
All the preliminary requirements of law having been complied with,including the
filing of a satisfactory certificate of death, legibly written in durable black ink, per-
mission is hereby given to
of issue f permit, 9S• /C
/
(1(
ndrrLes
for the(,, rnylval fro A. and th ' terment
r (To be fill ut in case o`e al)
at _4 �e� •� rise L.-I ,_.�� of the
(Cem ,,,, (/l of(
r T
body of
.LL���
44 (Give full n f d ceased) _.
who died 19 7 ge years months days
(month) �f7ifF fCause of death, `p'jrtQ �j� ( •
Residence at time of death, lF�`C�-(�� I' ' ��
(Number) (Street) (C. Town)
Was Deceased a Veteran of any U. S.War
(Specify War)
(...--M--g
Cri ealth Commissioner
® ATLANTIC REGISTER CO., WALTHAM, MASS.
Pr ,
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