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De Guzman, Maria Norma Cruz 77 NEW YORKSTATE DEPARTMENT OF HEALTH Buria! - Transit Permit Bureau of Vital Records Name First Middle Last Sex Maria Norma Cruz De Guzman Female Date of Death Age If Veteran of U.S.Armed Forces, 04/29/2020 75 Years War or Dates Place of Death Hospital,Institution or City,Town or Village Hempstead Town Street Address Mount Sinai South Nassau pManner of Death © Natural Cause ❑Accident 1:1Homicide ❑Suicide ❑Undetermined Pending IW Circumstances Investigation WMedical Certifier Name Title Anthony Lyon MD Address 1 Healthy Way,Hempstead Town, New York 11572 Death Certificate Filed District Number Register Number City,Town or Village Hempstead 2950 02347 ❑Burial Date Cemetery,Crematory or Facility Name 05/07/2020 Pine View Crematory Entombment Address aCremation Queensbury Hamlet,New York Donation Z Removal Date Place Removed and/or —7and/or Held f- asHold Address O a Date Point of N Transportation Shipment p by Common Carrier Destination El Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home NEW LEAF CREMATION 02058 Address 3930 LONG BEACH RD., ISLAND PARK,New York 11558 Name of Funeral Firm Making Disposition or to Whom IH Remains are Shipped,If Other than Above Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/07/2020 Registrar of Vital Statistics xaahCeenMurray(ECectronicadySigned) (signature) District Number 2950 Place Hempstead, New York I certify that the remains of the dec''-ed\\ent identified above were disposed of in accordance with this permit on: W Date of Disposition 5�//-?r)(z✓ Place of Disposition l (addr s/ W U) (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Premises �� �` `/a -t- / (please print) W Signature Title DO H-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) ,. w3 7� 9 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#