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Russell, Joseph E. NEW YORKSTATE DEPARTMENT OF HEALTH •� Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph E.Russell Male Date of Death Age If Veteran of U.S.Armed Forces, 04/13/2020 80 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Hempstead Town Street Address 2023 Pearsall Place,Merrick,Hempstead Town,New York 11566 W Manner of Death © Natural Cause Accident Homicide Suicide Undetermined Pending W Circumstances Investigation U W Medical Certifier Name Title Trina Ogletree NP Address 99 Sunnyside Blvd,Woodbury Town,New York 11797 Death Certificate Filed District Number Register Number City,Town or Village Hempstead 2950 ❑Burial Date Cemetery,Crematory or Facility Name 04/17/2020 Pine View Cemetery and Crematory Entombment Address X❑Cremation Queensbury Hamlet,New York ❑Donation Z Removal Date Place Removed and/or and/or Held H N Hold Address O a Date Point of U) 1:1 Transportation Shipment p by Common 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 orto Whom F Remains are Shipped,If Other than Above $ Address W tL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/16/2020 Registrar of Vital Statistics ?Cathleen Murray(Electronically Signed) /signature) District Number 2950 Place Hempstead, New York I certify that the remains of the decedent identified above were dis7hQ d of in accordance with this permit on: H Z Date of Disposition q/ --ZU Place of Disposition , i LLI (address) W N (section) (lotnumb / (grave number) 0 Name of Sexton or Person in Charge of Prem' es o —' (please print) Z W Signature ! Title DO H-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) r °� 13559 Receipt Human remains of delivered on , 20 ' I Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#!