Name/Title
State of Wisconsin Burial Permit: Thomas H. SmallDescription
State of Wisconsin Burial Permit for Thomas H. Small, who died at Waupun, County of Dodge, Wisconsin, February 21, 1928. Cause of death Pulmonary Tuberculosis. Place of burial: Waupun. Signed by Dr. G. B. Durand. Undertaker or person in charge: H. L. Beyers. Date of interment: February 24, 1928.