Conklin, Winifred E. (1916 - 1975)
Surnames: Conklin, Izydorek, Morrison, Walters
----Source: Butler Township, Clark County, Wis. Death Records
Winifred E. Conklin
Butler Township, Clark Co., Wisconsin
This permit must accompany remains to destination
Bureau of Vital Statistics Wisconsin State Board of Health and Social Services
BURIAL --- TRANSIT PERMIT
Full Name of Deceased: Winifred E. Conklin
Place of Death Marshfield, Wood, Wisconsin
Date of Death 3-27-75 White Female 59
Cause of Death
(Completion is not necessary for Wisconsin burial)
Burial, Cremation, Removal
Location (City, town or country) (State)
Tn of Butler, Clark Co., 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, Wisconsin
To dispose of said deceased as above stated.
Signature Edward W. Walters, M. D.
Date 4-7-75 Address Marshfield, Wood
Cemetery or Crematory Authority Shall Fill Out Space Below
Body was buried on Mar 31, 1975 in Town of 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.
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