Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Hilke, David H.
NEW YORKSTATE DEPARTMENT OF HEALTH Burlap - Transit Permit Bureau of Vital Records Name First Middle Last Sex David H.Hilke Male Date of Death Age If Veteran of U.S.Armed Forces, 05/11/2020 76 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Hempstead Town Street Address 1805 Princeton Place Merrick,Hempstead Town,New York 11566 pManner of Death © Natural Cause Accident Homicide Suicide Undetermined El Pending U Circumstances Investigation W Medical Certifier Name Title 0 Joann Eng MD Address 39 Broadwaysuite 200,New York,New York 10006-3003 Death Certificate Filed District Number Register Number City,Town or Village Hempstead 2950 1-1 Burial Date Cemetery,Crematory or Facility Name 05/14/2020 Pine View Cemetery&Crematorium Entombment Address Cremation Queensbury Hamlet,New York Donation Q Removal Date Place Removed and/or —7and/or Held F-tan Hold Address O d Date Point of U) Transportation Shipment Q 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 or to Whom IN Remains are Shipped,If Other than Above Address W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/11/2020 Registrar of Vital Statistics xathleen Murray(ECectronicaCCy Signed) /signature/ District Number 2950 Place Hempstead, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H W Date of Disposition �` —Ae—Zp� Place of Disposition R n) t Cry -Iw LU /addre W N (section/ /lot number/ (grave number) °C aName of Sexton or Person in Charge of Premi s Z (Please print) W Signature ' � Title DO H-1555(07/18)p 1 of 2 a Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing he funeral home named on burial permit Official Funeral Directors Reg.or License#