Lulu C. WilberIOWA DEPARTMENT OF PUBLIC HEALTH
BURIAL TRANSIT PERMIT
:NA:M:E:0:FDE�CEASE�DLULU C. WILBUR YES
DEATH COMMUNICABLE
DATE OF DEATH 3-9-93
PLACE OF DEATH
TOWNSHIP (IF KNOWN)
COUNTY
CITY OR TOWN
STORY
NEVADAOTHER:
REMOVAL ❑ CREMATION ❑
BURIAL PLACE OF DISPOSITION
COUNTY
CITY OR VILLAGE WASHINGTON
CEMETERY CREMATORY BLAIR
BLAIR
FULL NAME
PERMIT STEVENS MEMORIAL CHAPEL
CITY
ISSUED AXES
TO: ADDRESS ST
607 28TH .
STATE
IOWA
El
STATE
IOWA
STATE
IOWA
SIGNATURE `+mss-��C�NV v
TV " IN ACCORDANCE WITH IOWA CODE CHAPTER 144. PERMISSISON
MUST BE
A CERTIFICATE VEN TO DA PTH
OSE OF THIS BODY.
IS HEREBY FUNERAL DIRECTOR
TITLE
SIGNATURE ::�g
PERMIT 607 28TH ST.. IOWA
ISSUED ADDRESS STATE
BY: AMES
CITY
03/11/94
DATE ISSUED
144 SECTIONPERMIT I4 32. NOT IS
SUED FOR EVERY DEATH, ONLY UNDER THE PROVISION OF IOWA
SIT
NOTE: A BURIAL
CODE CHAP
BURIAL TRANSIT PERMIT 144.32 arson shall secure
or fetus, the p
of a dead body the county medical examiner
death wal
If a p the burial -transit permit must be issued by
arson other than a funeral director assumes custodywhere the certificate of death the efface of dead
a burial -transit permit. To be valid, or fetus from p
registrar of the county disposition. To transfer
a funeral director, or the county prior to the removal of the deadlac d of final disp of the dead bod
filed. The permit shall be obtained h dead body or fetu% to the p
and the permit shall accompany the funeral dire
who firser t shall accompany the dead bod
or fetus outside of this state, ositio
dead body permit prior to the t�,ansfer. The ht into this state for final disp
disposition. A dead body or fetus broug
d.
or fetus shall obtain. p 58g-0002 Rev. 10
or fetus to the place of final disp -transit permit under the law of the state in which the death occurs
shall be accompanied by a burial
CPL -09