(FORM D.) STATE OF MAINE. BURIAL PERMIT. Premont Me., Sept 9 1909. Permission is hereby given L.W. Rumill to remove the remains of mand Torry Date of Death, 9-9 1909. Age,25years, 8 months, 17days. Place of Death, Premout me Ward, Street, No. Cause of Death, Pulmonary Puberculosis Medical Attendant, I.S. Papley ms To Cleasant Hill Cum for interment, 9-11 1909. No. 12 albert DMOOR Town Clerk.