William F. ThomsonH
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STATE OF NEBRASKA
DEPARTMENT OF HEALTH
Bureau of Vital Statistics
Permit for Transit or Cremation
This permit, when completely filled out and bearing the required signature, constitutes authority
for transit or cremation of the deceased named below, in accordance with Section 71-605 R.R.S.
of Nebraska.
Name of Decedent
William F. Thomson
Date of Death
Fd Aug
e 7, 1993
Place of Death Omaha, NE
Sex Male Age
82
Date of Birth
Marcy 23, 1911
Name and Address of Funeral
Directing Establishment Boyd E. Braman Mortuary 1702 N. 72nd Sit. Omaha, NE
Type of Disposition: Transit
X
Place of Disposition Blair , NE
(City and State)
Cremation
Blair,Cemetery
(Crematory)
OZ 1 HAVE EXAMINED THE COMPLETED CERTIFICATE OF DEATH FOR THE DECEDENT NAMED
ABOVE AND AUTHORIZE CREMATION OF THE REMAINS. (TO BE SIGNED BY THE COUNTY
N ATTORNEY OF THE COUNTY IN WHICH THE DEATH OCCURRED OR HIS/HER DESIGNATED
OC REPRESENTATIVE PURSUANT TO SECTION 71-605 (Paragraph 4) R.R.S. of NEBRASKA.
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Q (Signature and Title) (Date)
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Items below are to be completed by the funeral director in cases of transit and by the crematory
official if remains are to be cremated. Method of Disposition:
O Cremation
(Signature of crematory representative) ( ate)
rO Transit
(Signature of funeral director) (Date)
Distribution of copies:
For cremation — original retained by crematory; copy to County Attorney
For transit — original accompanies body; copy to be retained by Funeral Director
4 printed on recycled paper