Dunleavy, Dennis e
EDR: 000001117744
BURIAL TRANSIT PERMIT
Name of Deceased-First Middle Last
DENNIS JOSEPH DUNLEAVY
Age Sex Date Of Death(mm-dd-yyyy) Method of Disposition
®Male ❑Female ❑Burial ❑ Cremation ❑ Donation 0 Entombment ®Removal from state
80 YEARS MARCH 31,2012 !:]Other(Specify)
Place of Death City-County State
METHODIST WEST HOUSTON HOSPITAL HOUSTON , HARRIS TX
Name of Cemetery or Crematorium City State
PINEVIEW CEMETERY QUEENSBURY NY
a Print-Name of Funeral Director or Person Acting as Such Address City State Zip Code
a
d SUSAN ELIZABETH SARDINHA 8303 KATY FREEWAY HOUSTON TX 77024
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$ Local Registrar County City/Precinct File Num r
y �01551
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o REGISTRAR-CITY OF HOUSTON HARRIS HOUSTON
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€ A certificate of death having been registered or completed in so far as possible; permission is hereby
= given for final disposition,transport,or removal of the body from the state of Texas.
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' OC �
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Geraldine R. Harris,State Registrar,TER-Electronic Validation APRIL 2,2012
v 2 Signature of Registrar or Electronic Validation Date (mm-dd-yyyy)
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a,Y G �, 11 d' �/
N E •Recieved by:�, / (� Date '�/ � r
Vital Statistics 25 Texas Administrative Code Sec.181.2(b),"if a dead body or fetus is to be removed from this state,transported by common
carrier within this state,or cremated,the funeral director,or person acting as such,shall obtain a burial-transit permit from the local registrar
where the death certificate is or will be filed,or from the state registrar electronically through a Bureau of Vital Statistics electronic death
registration system.The registrar shall not issue a burial-transit permit until a certificate of death,completed in so far as possible,has been
presented(See§181.6 of this title(relating to Disinterment))"
A file number may be assigned by the registrar as needed. A copy of this permit is to accompany the body in
transit.There is no fee authorized for the issuance of a Burial-Transit Permit.
If an incomplete death certificate is used to obtain the Burial Transit Permit,the registrar will validate that the body
is no longer needed by the certifier of cause of death before issuing the permit,to ensure that a completed death
certificate will be received."Completed in so far as possible"means the information relating to the deceased,
including the name, date of death, place of death and funeral cirectot s information is completed. In a few
instances,the cause of death may not be completed. It is the responsibility of the person presenting the
the Certificate of Death, and obtaining the Burial Transit Permit,to assure that the fully completed Certificate of Death
is filed as soon as possible.
In accordance with state statute,before a dead body can be cremated,a Cremation Authorization must be signed
and issued by the medical examiner or justice of the peace of the county in which the death occurred showing
that an autopsy was performed or that no autopsy was necessary. If an inquest is being conducted by the
medical examiner or justice of the peace,authorization for cremation from the medical examiner or justice of the
peace is required.
[HSC§193.008, 25 TAC§181.2,§181.3]
VS-116T Revised 9/2004