Printed: "BURIAL PERMIT // ALSO // TRANSIT PERMIT // I hereby Certify that the particulars of the death as returned to me of Oscar D Lewis // resident in Ernesttown (at time of death) // caused by Paralysis of Heart // have been registerd by me, and that the provisions of Sections 22, 23, 24 and 25 Chapter 44 R.S.O., 1897 // signed, E. O. Clark // Division Registrar // Date Issued Nov 27th / 1901 Municipality of Ernesttown"
Permanent Location
Storage Room 2005
2005-2-5 Box 18
Dimension Notes
Length 21.1 cm x Width 11.8 cm
Condition Remarks
Paper faded; deep crease at one location horizontally and one location vertically; vertical crease has torn at bottom; top right corner has been torn