Russell Buton WoodardIOWA DEPARTMENT OF PUBLIC HEALTH
°`T
BURIAL TRANSIT PERMIT
NAME OF DECEASED Russell Burton Woodard
DATE OF DEATH May 23, 2004
DEATH COMMUNICABLE YES
PLACE OF DEATH
CITYORTOWN Jefferson TOWNSHIP (IF KNOWN) COUNTY Greene STATE Iowa
BURIAL
REMOVAL
CREMATION [::]
OTHER: E
PLACE OF DISPOSITION
CEMETERY
CREMATORY
CITY OR VILLAGE
COUNTY
STATE
Blair Cemetery
Blair
Greene
Iowa
FULL NAME
PERMIT
ISSUED
Hastings Funeral Home
ADDRESS CITY STATE
TO:
403 North Elm Jefferson Iowa
SIGNATURE
A CERTIFICATE OF DEATH MUST BE FILED IN ACCORDANCE WITH IOWA CODE CHAPTER 144. PERMISSISON
IS HEREBY GIVEN TO DISPOSE OFT IS BODY.
SIGNATUR LE Funeral Director
PERMIT
ISSUED
ADDRESS 403 North E l m
BY:
CITY Jefferson STATE Iowa
DATE ISSUED May 25, 2004
NOTE: A BURIAL TRANSIT PERMIT IS NOT ISSUED FOR EVERY DEATH, ONLY UNDER THE PROVISION OF IOWA
CODE CHAPTER 144 SECTION 144.32.
BURIAL TRANSIT PERMIT 144.32
If a person other than a funeral director assumes custody of a dead body or fetus, the person shall secure
a burial - transit permit. To be valid, the burial -transit permit must be issued by the county medical examiner,
a funeral director, or the county registrar of the county where the certificate of death or fetal death was
filed. The permit shall be obtained prior to the removal of the dead body or fetus from the place of death
and the permit shall accompany the dead body or fetus to the place of final disposition. To transfer a
dead body or fetus outside of this state, the funeral director who first assumes custody of the dead body
or fetus shall obtain a burial -transit permit prior to the tlransfer. The permit shall accompany the dead body
or fetus to the place of final disposition. A dead body or fetus brought into this state for final disposition
shall be accompanied by a burial -transit permit under the law of the state in which the death occured.
588-0002 Rev. 10/93
CPL -09750