Province of Ontario

Vital Statistics Act

Burial Permit

Under the Vital Statistics Act and the regulations, subject to the limitations thereof, this permit is granted to:

<%= contract.funeralHomeName %>
<%= contract.funeralHomeAddress1 %>
<% if (contract.funeralHomeAddress2) { %><%= contract.funeralHomeAddress2 %>
<% } %> <%= contract.funeralHomeCity %>, <%= contract.funeralHomeProvince %>
<%= contract.funeralHomePostalCode %>

for the purpose of the burial or other disposition of the body of:

<% if (!contract.isPreneed && deceased !== undefined) { %> <%= deceased.deceasedName %> <% } %>

who died at   <%= deceased?.deathPlace ?? '' %>   in Ontario on   <%= deceased?.deathDateString %>   .

 
(Signature of Division Registrar)

Sault Ste. Marie       5724

 
(Year Month Day)