Eichler, John P. State of Florida, Department of Health, Bureau of Vital Statistics
f'10 BURIAL TRANSIT PERMIT
TH DATE PRINTED:October 23,2020 TRACKING NUMBER: 2020200313
1. DECEDENT INFORMATION
Name of Deceased Date of Death
JOHN P EICHLER October 19,2020
Place of Death-County City,Town or Location Name of facility,or street address if not a facility
FLAGLER PALM COAST ADVENTHEALTH PALM COAST
Name and Address of Funeral Home/Direct Disposal Establishment Fla.Lic.No./Reg.No. Phone Number
COLLISON CAREY HAND FUNERAL HOME F079242 F079242 (407)877-6700
1148 E PLANT ST
WINTER GARDEN,FLORIDA,34787
Funeral Director/Direct Disposer Fla.Lic.No./Reg.No.
ROBERT BITTLE F042949
Medical Verification Statement
Michaels at the certifying physician's office,was contacted on 10/23/2020 by the funeral director listed above;he/she indicated that
JESSY CASIMIRO,certifying physician,will complete and sign the medical certification of cause of death within 72 hours.
2. BURIAL- TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number: 2020-F079242-5225
Date Issued: October 23,2020
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA,or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: PINE VIEW CREMATORY
Method of Disposition: REMOVAL FROM STATE Date of Disposition: /1/3 l ie
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit,therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
DH 326E,10/12
64V-1.011,Florida Administrative Code
Public Health Law Sec. 4145(2b) 0.14166
Receipt
Human remains of delivered on , 20
. •f 1'
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#