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Tang,Shuk
NEWYORK STATE DEPARTMENT OF HEALTH ` I Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Shuk Tang Female Date of Death Age If Veteran of U.S.Armed Forces, 04/04/2020 57 Years War or Dates II— Place of Death Hospital,Institution or WCity,Town or Village Hempstead Town Street Address Nassau University Medical Center p Manner of Death © Natural Cause Accident 1:1Homicide Suicide Undetermined Pending W Circumstances Investigation (.) W Medical Certifier Name Title Santosh Kale Address 2201 Hempstead Tpke, Hempstead Town,New York 11554 Death Certificate Filed District Number Register Number City,Town or Village Hempstead 2950 01268 ❑Burial Date Cemetery,Crematory or Facility Name 04i13/2020 Pineview Cemetery and Crematorium Entombment Address Cremation Queensbury Hamlet,New York Donation Z Removal Date Place Removed p and/or --land/or Held ) Hold Address O ID. Date Point of to Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment I 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 W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/08/2020 Registrar of Vital Statistics XathCeen Murray(ECectronicaffy Signed) (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: Z W Date of Disposition 4 1 1 7,p Place of Disposition 2 /ad essJ W N (Section) pot number) (grave number) GName of Sexton or Person in Charge of P mises V+l z (Please print) W Signature Title C DO H-1555(o7/18)p 1 of 2 J Public Health Law Sec. 4145(2b) 013528 Receipt Human remains of delivered on , 20 f Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# ,;