Wolfang, Charlotte Wilma State of Florida, Department of Health, Bureau of Vital Statistics
71 BBURIAL TRANSIT PERMIT
HEALTH DATE PRINTED:September 6,2022 TRACKING NUMBER: 2022163340
1. DECEDENT INFORMATION
Name of Deceased Date of Death
CHARLOTTE WILMA WOLFANG August 25,2022
Place of Death-County City,Town or Location Name of facility,or street address if not a facility
MARTIN STUART 2375 NE OCEAN BLVD APT 406 E
Name and Address of Funeral Home/Direct Disposal Establishment Fla.Lic.No./Reg.No. Phone Number
NEPTUNE SOCIETY-POMPANO BEACH F064804 F064804 (954)771-3270
100 NW 70TH AVENUE STE 140
PLANTATION,FLORIDA,33317
Funeral Director/Direct Disposer Fla.Lic.No./Reg.No.
KELLIE C HOODIMAN F044996
Medical Verification Statement
Doctor at the certifying physician's office,was contacted on 08/25/2022 by the funeral director listed above;he/she indicated that
DEAN R GALLUPE,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: 2022-F064804-6248
Date Issued: August 25,2022
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number: C22-19-09-NEPT3
4. CEMETERY OR CREMATORY
Place of Disposition: GOLD COAST CREMATORY
Method of Disposition: CREMATION 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
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WOLFANG
NAME Charlotte Wilma Wolf ang Age:
Lot Owner: Gert H. & Charlotte Wolfang
Lot# Seneca 21 A Grave# 2
Case: Urn
Died: 8.2 5.2 2 Interred:1 0.8.2 2
Funeral Home: Neptine Society-Pompano Beach F06$i
Cemetery: Pine View
WOLFANG
Owner
Gert H. & Charlotte Wolfang
Address Plot
PO BOX 175 Kattskill Bay, NY 12844 Seneca
Phone # Lot #
Wilma Quinn 781 -439-7999 21 A
Deed # Date
3116 7.12.2001
Cost Foundation Y - N
$800.00
Location North-Trees
South-Vacant
West-Path
East-Vacant
Remarks
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