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Posner, Herbert
NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Herbert Posner Middle Last Sex Date of Death Age If Veteran of U.S.Armed Forces, Male 04/08/2020 81 Years War or Dates 1961-1963 Place of Death WHospital,Institution or City,Town or Village Long Beach p Manner of Death Street Address Park Avenue Extended Care Facility V ©Natural Cause Accident Homicide Undetermined Suicide E]Pending QW Medical Certifier Name Circumstances Investigation Polina Khanina TitleMD Address 425 National Blvd,Long Beach,New York 11561 Death Certificate Filed City,Town or Village Lon Beach District Number Register Number 9 2902 133 Burial Date Cemetery,Crematory or Facility Name Entombment 04/13/2020 Park View Cemetery&Crematory Address 0 Cremation Queensbury Hamlet,New York Donation ZRemoval Date Place Removed p and/or and/or Held N Hold Address O d Date Point of N Transportation by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Name of Funeral Home N F Walker Inc Registration Number Address 01234 2039 Merrick Avenue,Merrick Hamlet,New York 11566 Name of Funeral Firm Making Disposition orto Whom f- Remains are Shipped,If Other than Above Address tY W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/10/2020 Registrar of Vital Statistics lnavidrFraser(ECectronica!lySigned) (signature) District Number 2902 Place Long Beach, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: F- SS W Date of Disposition L� Place of Disposition 1 rye I �VIttG�TD 2 (address) W N (section) (lot number) (grave number) GName of Sexton or Person in Charge of,)remises u STD p � S�z 1 (please print) W Signature Title DOH-1555(07118)P 1012 r A Public Health Law Sec. 4145(2b) - 3 tit t' Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on buri4l permit Official Funeral Directors Reg.or License#/