Geraldine Marie Gilbert

Butler Township, Clark Co., Wisconsin

 

Oregon State Health Division            DISPOSAL - TRANSIT PERMIT

Department of Human Resources                         Vital Statistics Section

Full Name of Deceased:  Geraldine Marie Gilbert

Place of Death  Gresham Community Hospital, Gresham, Multnomah

Date of Death  June 17, 1980

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

 

Cemetery/Crematory

 

Location (City, town or country)    (State)

 

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.

Bateman Funeral Chapel, 520 W. Powell, Gresham, Ore.

To dispose of said deceased as above stated.

                                             Signature  C R Bradfor

Date  6-18-80                       Address 

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was                                  on                         in 

Located at                                     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.

 

 

 

 

 

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