This permit must accompany remains to destination

Bureau of Vital Statistics                                             Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  John Myron Kile Sr.

Place of Death  Township of Butler, Clark, Wis.

Date of Death  March 15, 1948               W          M           91

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Cemetery

Location (City, town or country)    (State)

Clark, Wis.

A certificate of death having been filed as required by the laws of this state, permission is hereby given to Funeral Director or person acting as such.

R. V. Izydorek, Thorp

To dispose of said deceased as above stated.

                                             Signature  Leon E. Bogumill

Date  March 22, 1948          Address  Thorp, Clark

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried      on   March 18, 1948  in  Cemetery

Located at  Butler                       Signature  Arthur Morrison

(Sexton or Person in Charge)

This permit must be endorsed by the sexton (or by the Funeral Director where is no sexton) and permanently retained in the Sexton’s files.