Armstrong, June C. 9414238904
State of Florida,Department of Health,Bureau of Vital Statistics
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i#ALk. BURIAL TRANSIT PERMIT
TA DATE PRINTED:January 29.2020
TRACKING NUMBER- 2020015671
DECEDENT INFORMATION
Nart�of Deceased
JUNE C ARMSTRONG Date ofOesq�
Plea of Death-County City.Town or Location
20,2020on SARASOTA VENICE Name of faeil kY.Or,street addrees if not a faoillty
Name and Address of Funeral HOmNDirect oispogal
VENICE REGIONAL SAYFRONT HEALTH
GENDRON FUNERAL&CREMATION SERVICES INC-
GENDRON F065945 Fla.Lic.NoJReg.No. phone Number
135 NORi H LIME AVENUE F065945 (941)385-1767
SARASOTA.FLORIDA,34237
Funeral DirecloNDirect disposer
MICHAEL GENDRON Fla.Lie.NWI%eg.-No.
F042014
2. R1 IC!: L-TRANSIT PERMIT
The Florida Department of Health, Bureau
f t of Vital StathMCS
hereby gren�permission to dispose ohis body In accordance with Chapter 3B2,Florida Statutes.
Permit Number. 2020f055945.3029
Date Issued: January 27,2020
State Registrar
3• AUTHORIZATION for CREMATION, DISSECTION,BURIAL-AT-SEA,or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 12 Approval Nurnber: '
4. a�- oa�"l 1�
CEMETERY OR CREMATORY
Place of Disposition: PINE VIEW CREMATORY
Method of Disposition: REMOVAL FROM STATE
Date of Disposition: Z/lQ I ZO _
EDRS maintains all statutorily required information regarding the death record'and
burial transit permit therefore, returning the permit to the county health department is no
longer required.
OH 326E.10112 If the Place of Final Disposition wishes to retain the copy of the pennit for their file they may do so.
64V-1.011,Florida Administragye Code
Public Health Law Sec. 4145(2b) 0 13 3 L'
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#