Langabeer, Nicholas John •.1611,440 MMvIO, .. •i/L.0I CV4V 16:4'rt:00 ri7 iwpl roust at moo r ax pannier
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_4,44,41.0„ BURIAL-TRANSIT PERMIT
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NICHOLAS JOHN 1JUANGABEER
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23002 KUYKENDAHL RD PRECINCT 4 Harris TX
I PINE VIEW CREMATORIUM QUEENSBURY NY
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JAMIE WALKER .62osmnat:TwATr�tLhc,2+ MOUST N TX 77037
it mewl&efunaltiolow am ab wbu.i. PO Midas
I Harris County Cleric's Office Harris PRECINCT 4 3102
A csrM le of deatbiavIng been registered or completed eater as poe
tMk ms*permission is hemby
j given for flee)disposition,transport,sport,or removel of the body teoni the slide of Texas. • . .
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MI Staleere ffi Tama Adnlldaiel'a Cede are.tn.Zpv 1'a deed body or fobs 4*b.nmolred Oche ale mw, l. gded by camnwn
paler Of*e e Nab,or maneled,IN funeral Meow.of purses MEeme Is ouch.shall Wei I Ourbbbeleal peont tam ma local mans.
where the deeds=See*Is or all be tad.or Aden the clot.NOW•bdraday Through a&mu of NMI Medeo a Athos a Oath
miss.'abeam.Ms tetiln r slat not Imo a burloMraell prat maa imPissb of deed%eenrpl lod Mao for a pesalbk,has even
aA Ills number may be assigned by the Registrar es needed. A copy of this permh Is to accompany the body In
d trans t There le no fee suthodzed for the iasnana of a Burial Trend Peardt.
11 If en Incomplete death certificate N used to obtain the Budel-Trenalt Permit,the mpbtrar we validate MN the body •
r Is no longer needed by the certifier of cause of death before issuing the permit.to ensure the a completed deeds
cot cote MD be received. 'Carrpiabd In so far as possible' means the Information misting to the deceased,
Including the name, date of deMh, gists of death end funeral * ew% Information is com In a few
Inmost,the *sues of death may not be completed. It Is the responsibility of the person presetft the
CirWiceb of Death,and obbining the theiai-Transit Permit to assure that the furor completed Ce4111cate o ee
Iis filed as soon as possibl.
In ascordence with state.letub,before a dead body can be emoted,a Crem.t on Authorization must be signed
and Issued by the medics'examiner or justloa at the pests of the county in'cinch the death occurred showing •
that en autopsy was performed or that no autopsy was necessary. It an inquest le being conducted by the
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medical examiner or judos of the peace.authorization for cremation from the medics)examiner or Justice of the
peace is required.
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Public Health Law Sec. 4145(2b)- ts --- ,D 14*4 5 rt,.., .
Receipt
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•Human remains of f, ,•,',__I 4:1elivered on . ,>•1 / '..,." / 20,-.,...:
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Pine View Cemetery Representing the funeral home named on burial permit
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Official Funeral Directors Reg.or License# ,')