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NORTH DAKOTA BURIAL-TRANSIT PERMIT NORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF VITAL RECORDS SFN[removed]AUTHORITY FOR BURIAL, TRANSPORTATION, REMOVAL, CREMATION OR OTHER DISPOSITION
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Document Date: 2007-12-26 15:09:36

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File Size: 111,34 KB

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Facility

CREMATORY AUTHORITY SHALL COMPLETE SECTION BELOW Interment / Funeral Home City Signature / Subregistrar State Zip Code Date Issued CEMETERY / Funeral Home Address / /

IndustryTerm

transportation / /

Organization

AUTHORITY FOR BURIAL / DEPARTMENT OF HEALTH DIVISION OF VITAL RECORDS SFN / /

Person

Lot Grave / /

Position

Director License Number Name / Funeral Director ND Funeral Director / /

ProvinceOrState

North Dakota / /

SocialTag