Godin, Eliane M. State or Floritla, Department of Health, Bureau of vgal Statistics
WIM BURIAL TRANSIT PERMIT
HEAiMTEPMNMD:Sepmn r3,3030 I CNINGNUMBE : 3601E6131
t, DECEDENT INFORMATION
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f, BURIAL - TRANSIT PERMIT
TOM Florida Department of Heats, Bureau of Vibl StElii
Mnby grants Pmiaalon to Ulapoae Of Nis bOOy In accordance ANN Cm r 363, Florida SbNCe.
Permit Numax. u IecmgIi om
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3. AUTHORIZATION for CREMATION, DISSECTION, SURML-ATSEA,or HOSPITAL DISPOSITION
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d. CEMETERY OR CREMATORY
Place Or Depanlon: PINESIEVOCEMETERS
MCNnnet DYpnNlon: HAITI FROM STATE Di Or Dicann m.
EDRS maieralne all atatldorlly reacquired information regarding the death record and related -
burial Innsil permit,therefore, ratuming the permit to the county health deparMent is no
longer required.
Place Plains Dlapowdon'alahn w n in UM copy of Ma parmn la dlelr file lNy mry JO w.
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Elaine M. Godin
L Ownee: Daniel B. $ Elaine M. Godin
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DW: Inw ac:9/9/2020
9/1 /2020
NL Home: Carleton PH
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