Shoemaker, Ernest A. (1892 - 1956)
Surnames: Shoemaker, Neis, Izydorek, Morrison
----Source: Butler Township, Clark County, Wis. Death Records
Ernest A. Shoemaker
Butler, Clark County, Wisconsin
This permit must accompany remains to destination
Bureau of Vital Statistics Wisconsin State Board of Health
BURIAL --- TRANSIT PERMIT
Full Name of Deceased: Ernest A. Shoemaker
Place of Death Eau Claire, Eau Claire Co., Wis.
Date of Death Sept. 20, 1956 White, Male, 64
Cause of Death
(Completion is not necessary for Wisconsin burial)
Burial, Cremation, Removal
Location (City, town or country) (State)
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 F. P. Neis
Date Sept/ 22, 1956 Address Thorp, Clark, Wis.
Cemetery or Crematory Authority Shall Fill Out Space Below
Body was buried on 1956 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.
© Every submission is protected by the Digital Millennium Copyright Act of 1998.
Show your appreciation of this freely provided information by not copying it to any other site without our permission.
A site created and
maintained by the Clark County History Buffs