Mary Delores Rowe'^= Kansas Department of Health and Environment
Center of Health and Environmental Statistics
Office of Vital Statistics
1000 SW Jackson, Ste 120
Topeka, KS 66612-2221
Out -of -State Transit Permit
Full name of decedent: MARY DELORES ROWE
Date of Death: 12/11/2019 Place of Death:
(city, county & state)
Point of final destination: BLAIR CEMETERY
(name ot'cemetery, crematory, or other point of destination)*
Age: 88 Sex: Female
Years
TOPEKA, SHAWNEE County KANSAS
Permit
A certificate of death having been filed as required by the laws of the State of Kansas, permission
is hereby given to:
Funeral Director: MARTIN S FELTNER 2470
(name and license number)
Date Issued: 12/19/2019
Funeral Home: FELTNER FUNERAL HOME, 818 TOPEKA AVE, PO BOX F, LYNDON,
KANSAS 66451
(name and address of firm)
to remove the above identified body from the State of Kansas for final disposition*
. > A
Issued by:
(signature of
and address) 818 TOrPEKA AVE, PO BOX F, LYNDON, KANSAS 66451
Embalmer: JAMES R MEACHAM 3364
(name and license number)
This transit permit is required for the removal of any dead body from the State of Kansas for interment, storage, or cremation and is to
accompany the body to the point of final disposition. (This form is not to be used for disinterments.)
*When the body is to be cremated, a Coroner's Permit to Cremate a Dead Bode is required in addition to this permit.
VS210 Rev.09/01/07