Name/Title
State of Wisconsin Burial Permit: Chas RuleDescription
State of Wisconsin Burial Permit for Chas Rule, who died at Waupun, Dodge County, Wisconsin, May 12, 1931. Cause of death (unreadable--perhaps Lobar) Pneumonia. Place of burial: Prison Cemetery. Signed by Dr. G.B. Durand. Undertaker or person in charge: H.L. Beyers, Date of interment: May 14, 1931. Name of Sexton: Chris Vande Berg, Cemetery: Forest Mound Cemetery.
At the top of the form it reads: 14 ft Lot 20 Blo D (perhaps the burial plot). Bottom reads "82 yrs."
