This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Hannah Winterer

Place of Death  Stanley, Chippewa Co., Wis.

Date of Death Sept 25, 1950    White  Female   86

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butlerville

Location (City, town or country)    (State)

Clark, Wisconsin

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.

Severyn Plombon  Stanley, Wisconsin

To dispose of said deceased as above stated.

                                             Signature  A. N. Overgard, M. D.

Date Sept 28, 1950              Address  Stanley, Chippewa Co.

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried           on Sept 28, 1915?   in  Butler

Located at  Town of 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.

Transcriber Note:  Burial year date obviously incorrect.