Morrill, Lois \LW i01, r.:,7ATE C;EP,AP-MEN- OF: HEAL-I-1
L-3.....-_,.:.:11or Burial - Transit Permit
, I I
1:----- ..:
I,0.5_ 13 _., Mor r "I 1 ( . Rrno I 1
Li l, et Ueda) Aoe 11 Veieran et U.S. Armeil Forces,
1 I -,,q1313 s VVill L11 Dates N0 1
.. ,
I- Fiii2e. :I Dealt; “tdspital iristrutryi ir
1
Z+ C•II'y Town ,,71 Vila!)i'C.,Ok0e--S ;.7.."reet Address E civ VI /Lay_ Gr-em
1111
to,9nner ryf Death X Natura, C.:aliF+,1-, riAcrAdert 11 Hr.a-lir:1de L.] s,,mid. Ej Unget mired 0 Pending
._., _
la C7.-irr:i:m&fatir.17.-s ifIV11.7.11garlsi()
,
ILLI 1 ,1,7,7t:'11 Cll.:7,1 Nair,: Title
th
Deatri CerrAlCiite F11.171t1 Dis I.IC 1 NJ""ibe' Re-glster N-,irrItio
. ::::1";,/ -ei.,+.el r VI:at:0, CIDIr\O-e c__ /400Z i•ai
Li
-
e.-,if cat
. Cali, I' r' r Crem- ory
)2-G-2Litkci- 2-0()31buxi33 m ine_ 1 cu.) (k71-001
pci Erter,:niim:::::nr,t
D...-it..;-. plaN, ;;,-.--mooi
Li..,.,,,,,,..... ,,,id.or t leid
1521 and,or .
Addr est,
1 ,
Cl)
ill tioid
Ic'`
.....1.
, incr.:I;tar,or
Des:I Mild]i I
Date, 1-?+,kiil
Snipment
Cemetery Address
C...f arrier
15 Li L.-a:,5,cotilt,::: ,:-)It Date
• .
— 1.7.1a1f, Cemetery Address
i--1.:-i-ii14jriitent 1
- -- i
Pt in t IF,F.Jocl to Registration Number 1
Nil'1 Kt' Or F U nk:11 Ell Huir 1"-4 1 1 te_,r .. ...kjilejrt,1 -141CNIne..1 C I 1 99
MO ess
(.9. 5.7 Sick-i-c. kit_ 3c) I nc-i Lan Lciciz. i\iy iz2ti2,
,
, ,,,,_,,,,, ot h x1;211.13 I 17111 Mitkrig Disprisition LI 1,...1 'V.:II:Iv-I
$- R-Rrins are Shipped ;' Ctrier trail Atin.ie
i AL1J'ess
MI
j. - - -,.
O.,
Permission is here y nted to dispose of the human rem ins de *bed above as indicated,
gri
DiltF1 ISS1.1f-Al Lel. oly 1,3 F.egistrar oi Vial Slat stics:; ,
ar 4....,',.,4
r-411•:n if....t....t.::-t I
'1.t:;7;11•1 N..11:111bEtr toZ_ 6t; e?"
i 1:C-t fifty la 7171(1 file-Ails :-:/t the dec ndene it:1Ft;itli 1..1 "r--.1. . VS%te e Aisuoser 7.;.:1 in ilccordunee with this 1..;-.."!rtrir on
Z
La, Lia"i:.... ut 0.-i,isioil-,itiori t)--46.-A3 Hane ..:J. DisLi,J++,.....:del
cn-
cc, --
,:.:-:-,,r-ot:..c. ,,,,,,,-.!,.. . „t.., ,„-:
a ..,
io• 1\14.1117112 7.".1' S;:!..14.ton Cr ;;;'€.7.1.son 117 Clia-n;e+ E:t Prt)
UU .
A c - " T rii... af.14111701. i
idreflr,.
:::•01A-1 5 5G ;;32 2012,4 I