Arata, Joseph J. N EW YORK STATE DEPARTMENT OF HEALTH 5,9.Z
Bureau of Vital Records '` Burial - Transit Permit
Name First Middle Last Sex
Joseph J Arata Male
Date of Death Age Elfeteran of U.S.Armed Forces,
04/25/2020 84Years ar or Dates
Place of Death Hospital,Institution or
Z" City,Town or Village White Plains Street Address White Plains Hospital Center
JIM Mannerof Death Natural Cause Accident Homicide Suicide Undetermined Pending
Circumstances Investigation
W Medical Certifier Name Title
Hannah Degroot MD
Address
41 E Post Rd,White Plains,New York 10601
r: Death Certificate Filed District Number Register Number
City,Town or Village White Plains 5902 2002
❑Burial Date Cemetery,Crematory or Facility Name
05/01/2020 Pineview Crematory
❑Entombment Address
Cremation Queensbury Town,New York
Donation
Removal Date Place Removed
and/or and/or Held
Hold Address
fA �Transportation
Date Point of
iq by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Schuyler Hill Funeral Home 01559
Address
3535 E Tremont Ave,Bronx,New York 10465
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped,If Other than Above
Address
W
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 04/28/2020 Registrar of Vital Statistics #XneM mcp&a0n gkcttvnr�Signed)
(s/gnature)
District Number 5902 Place White Plains, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
F
Date of Disposition S-/2-W 20 Place of Disposition
(address)
W
(section) (lot number) (grave number)
Name of Sexton or Person in Charge of Premises , /'-_% t'6
Joseph Arata
Signature TI Schuyler Hill Funeral Home Gr eY�tiCr��
TR050120 FH06/CO9/047
DOH-1555(o7/18)p 1 of 2
Public Health Law Sec. 4145(2b) *. 013764
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#