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Finn, Daniel Joseph .E.'.._.__........F f State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT on a HEALTH DATE PRINTED:April 7,2021 TRACKING NUMBER: 2021068311 1. DECEDENT INFORMATION Name of Deceased Date of Death DANIEL JOSEPH FINN April 3,2021 Place of Death-County City,Town or Location Name of facility,or street address if not a facility BROWARD Fort Lauderdale 1517 SW 24th St Name and Address of Funeral Home/Direct Disposal Establishment Fla.Lic.No./Reg.No. Phone Number BAIRD-CASE JORDAN-FANNIN FUNERAL HOME&CREMATION F058285 F058285 (954)492-4000 4343 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FLORIDA,33308 Funeral Director/Direct Disposer Fla.Lic.No./Reg.No. JOSEPH WATERWASH F044432 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: 2021-F058285-5045 ,ei ��' -_--- Date Issued: April 3,2021 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 17 Approval Number: 21-17-1256 4. CEMETERY OR CREMATORY Place of Disposition: PINEVIEW CEMETERY Method of Disposition: REMOVAL FROM STATE Date of Disposition: 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) 012849 Receipt Human remains of '. delivered on_ , 20 • Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# st FINN NAME Daniel Joseph Finn Age: i Lot Owner: Kevin Finn Lot# Erie 81 F Grave#1 Case: Concrete Died: 4/3/2 0 21 Interred4/1 2/2 0 21 Funeral Home: Regan Denny Stafford Cemetery: pine View