BURRELL, Francis N (1931 - 1988)

BURRELL

Posted By: Mary E Boyer (email)
Date: 2/20/2007 at 19:06:24

BURRELL, Francis N (1931 - 1988)

VITAL RECORDS SECTION IOWA STATE DEPARTMENT OF HEALTH
BURIAL - TRANSIT PERMIT
Full Name of Deceased Francis N. BURRELL
Place of Death Des Moines Polk Co Iowa
Date of Death 12-5 1988 Sex M Age 57
Cause of Death Cancer
Method of Disposal Burial - Cremation West Union
Town Traer County Tama State Iowa
A Certificate of death having been filed as required by laws of this state, permission is hereby given to Funeral Director
B G Chamberlain Address Des Moines
to dispose of body of said deceased as above stated

Signature Jerry (T?) Weiss
Date 12-9 1988 in Des Moines Crematory
Located at Signature
SEE OTHER SIDE
This permit must be entered by the sexton (or by the Funeral Director where there is no sexton) and returned to the registrar within 10 days.

Transcribed for Tama County by Mary E Boyer (of no relation)