Rasby/Reasby, Verbena Bell (? - 1935)
Surnames: Rasby, Reasby, Smith
----Source: Butler Township, Clark County, Wis. Death Records
Verbena Belle Rasby (Reasby?)
Butler, Clark County, Wisconsin
STATE OF WISCONSIN
Penalty for Burying Without a Permit, $20 - $200
Butler, Dec 31, 1935
(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 Verbena Belle Rasby (Reasby?)
Who died at Butler in the county of Clark
On Dec 28, 1935 the cause of death being hyperatensive (?) cardio
Vascular disease. Cerebral thrombosis
Place of burial: Butler Cemetery
(Signed by) Myrtle R. Smith
(Registrar, Deputy or Sub-Registrar)
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.
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