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Amoroso, Julia NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Julia Amoroso Female Date of Death Age If Veteran of U.S.Armed Forces, 04/09/2020 95 Years War or Dates H Place of Death Hospital,Institution or WCity,Town or Village Hempstead Town Street Address Townhouse Center For Rehabilitation&Nursing p Manner of Death © Natural Cause Accident Homicide Suicide Undetermined ❑Pending W V Circumstances Investigation G Medical Certifier Name Title Farzana Matin MD Address 755 Hempstead Tpke,Hempstead Town,New York 11553 Death Certificate Filed District Number Register Number City,Town or Village Hempstead 2950 Burial Date Cemetery,Crematory or Facility Name 04/13/2020 Pine View Cemetery&Crematorium Entombment Address Cremation Queensbury Hamlet,New York Donation 4 Removal Date Place Removed and/or and/or Held ~ asHold Address O (L Date Point of U) Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home N F Walker Inc 01234 Address 2039 Merrick Avenue,Merrick Hamlet,New York 11566 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address fW IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/11/2020 Registrar of Vital Statistics KothCeen Murray(ECectronicaffy Signer /signature/ District Number 2950 Place Hempstead, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: F- Z Date of Disposition -t 110 Place of Disposition W M /address/ W N M /section/ (lot numb (grave number/ C3Name of Sexton or Person in Charge of Premises Z / ase p O W Signature Title L DO H-1555(07/18)p 1 of 2 i Public Health Law Sec. 4145(2b) F _ i Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#,r _