Henderson, Stillborn Twins (1932 - 1932)
Surnames: Henderson, Reineke, Smith
----Source: Butler Township, Clark County, Wis. Death Records
Butler, Clark County, Wisconsin
STATE OF WISCONSIN
Penalty for Burying Without a Permit, $20 - $200
Thorp, Wis. Dec 9, 1932
(City, Township or Village)
A satisfactory certificate of death having been furnished to me, as required by the laws of this State, permission is hereby given for the burial of Henderson twins
Who died at Butler, R3, Thorp, Wis in the county of Clark
On Dec 8, 1932 the cause of death being still born
Place of burial: Butler Cemetery
(Signed by) Myrtle R. Smith
(Registrar, Deputy or Sub-Registrar)
Roy R. Reineke
Undertaker or person in charge (Sexton)
Date of internment:
(Name of Cemetery)
This permit must be delivered to the keeper of the cemetery where the burial occurs, and should be endorsed by him and returned to the local registrar of his district.
THIS "STUB" TO BE KEPT BY PERSON ISSUING PERMIT
1. Name of deceased: Henderson (twins)
2. Place of burial: Butler
3. Date and place of death: Butler R 3 Thorp
4. Disease causing death: Not known
5. Cause of death given by: B. A. Cole, M.D.
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