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Varous, Elias NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name'V First Middle Last Sex Elias Varous Male Date of Death Age If Veteran of U.S.Armed Forces, 04/12/2020 93 Years War or Dates F Place of Death Hospital,Institution or WCity,Town or Village Mineola Village Street Address Winthrop University Hospital G Manner of Death Natural Cause Accident Homicide Suicide El UndeterminedPending (Wj Circumstances Investigation GMedical Certifier Name Title Aleksey Etinger DO Address 259 1 st Street,Mineola Village,New York 11501 Death Certificate Filed District Number Register Number City,Town or Village Mineola Village 2908 356 Burial Date Cemetery,Crematory or Facility Name 04/18/2020 Pineview Crematory Entombment Address ©Cremation Queensbury,New York Donation 0 ❑Removal Date Place Removed and/or and/or Held H N Hold Address 0 d Date Point of N ElTransportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment I Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Gerard J Neufeld Inc 00661 Address 88 04 43rd Ave,Elmhurst,New York 11373 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address 2 Lu IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/17/2020 Registrar of Vital Statistics Wayne Henry fnk(Electronically Signed) (signature) District Number 2908 Place Mineola Village, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Z Date of Disposition 1/— V—W20P1aceofDisposition c?yy, lY� Uj (address) LU N IIX (section) 1 (lot number) (grave number) GName of Sexton or Person' er of Premises `�� ��.!'t Z (plea print) LU Signature L Title DO H-1555(07/18)p 10 TKoy igzv-FWzlcofin Public Health Law Sec. 4145(2b) . 013620 t - i Receipt j� 1 Human remains of delivered on , 20_ Pine View Cemetery Representing the funeral home named on burial permit t Official Funeral Directors Reg.or License# 1 1