This permit must accompany remains to destination

Bureau of Vital Statistics                      Wisconsin State Board of Health

BURIAL --- TRANSIT PERMIT

Full Name of Deceased:  Marshall Franklin Girard

Place of Death  Eau Claire, Eau Claire Co., Wisconsin

Date of Death Nov 23, 1959    White     Male      56

Cause of Death 

(Completion is not necessary for Wisconsin burial)

Burial, Cremation, Removal

Burial

Cemetery/Crematory

Butlerville

Location (City, town or country)    (State)

Clark County, 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.

Plombon Funeral Home, 502 North Broadway, Stanley, Wis.

To dispose of said deceased as above stated.

                                             Signature  El-a? Forsyth, Registrar

Date Dec 2, 1959                Address  Eau Claire, Eau Claire Co.

Cemetery or Crematory Authority Shall Fill Out Space Below

Body was  buried                         on  1959       in  Butler Cemetery

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.