Burial Permit44,
FORM YS IOM
Department of Public Welfare ---Division of Public Health
Office of the Local Registrar Vital Statistics
MINNEAPOLIS, MINNESOTA B
CITY HALL 3/23/1940
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A Certificate u R"Wred by law Hering Bean Filed, P.—issm., - Hereby Gr.nbd for tha Proper Di.pmition a the Rem.in. al:
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NAME Kathrine l7ey SEX AGE 68
PLACE OF DEATH Swedish Hospital
DATE OF DEATH 3/19/1940 NATIVITY Minn. SOC, ST. Married
CAUSE OF DEATH Streptococcus infeotion of throat- Lobar pneumonia
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MED. ATTENDANT P. H. Ficha am
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DISPOSITION Chanhassen Cem., Chanhassen, Minn. DATE 3/2g/1940 OW 0
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FUNERAL DIR. Moore Fuherel Home NO. ADD pkin`; ' nn.
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PERMIT ---���6t+(..tr)�
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COMMISSIONER OF XE/.LTM AND LOCAL REGISTRAR