(Form W) APPLICATION for the Disinterment Of the body of joinvill a Heath now lying in the socalled Health Cemetery, Town of Tremont Maine. Date of Death: Year, 1892 Month, / Day, 3126 Age: Years, 28 Months, 8 Days, > Place of Birth, Tremont Date of Birth: Year, 1843 Month, 5 Day, 24 Sex, male Color, white Married, Widowed Single, or marrid Divorced. Occupation, Sea baptain Cause of Death, chronic Diarrhoea Place of Death, Tremont The body is to be removed by I Howard Ober [State whether by railroad or by private con cyance.] by Private Commers To so called Poligan Cemetery, Town of > Tremons State of Main To whom shall permit be sent? Mrs Hamah.,SH: art P. 0. Address Seal Cove matic Mes Hannah G Health a Applicant. P.O. Address Seal Cove maine Date, august 24 1909 (OVER)