Obit: Audorff, John Karl (? - 1923)
Contact: stan@wiclarkcountyhistory.org

Surnames: Audorff, Conklin

----Source: Butler Township, Clark County, Wis. Death Records

 

 

 

  John Karl Audorff

Butler, Clark County, Wisconsin

 

STATE OF WISCONSIN

BURIAL PERMIT

Penalty for Burying Without a Permit, $20 - $200

 

Clark Co., Butler Township 3/7, 1923

                                                                                  (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  John Karl Audorff

Who died at Town of Butler                            in the county of  Clark

On Mar 7, 1923                                         the cause of death being  senile debility

 

Place of burial:  Butler Cemetery

                                                                 (Signed by)  H. C. Conklin

                                                                    (Registrar, Deputy or Sub-Registrar)

                                                                                      H. C. Conklin

Undertaker or person in charge                                      (Sexton)

Howard Cummings, H. C. Conklin

Date of internment:  Mch 9, 1923                                 Butler

                                                                                           (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

 

______

 

BURIAL PERMIT

______

 

1.  Name of deceased:  John Karl Audorff

 

2.  Place of burial:  Butler Cemetery

 

3.  Date and place of death:  Butler, Wis.

 

4.  Disease causing death:  Senile Debility

 

5.  Cause of death given by:  B. A. Cole

 

 

6.  Undertaker: 

 

 

 

 


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