Wolfang, Gert H State of Florida, Department of Health, Bureau of Vital Statistics
Au BURIAL TRANSIT PERMIT
tWA DATE PRINTED:February 12,2020 TRACKING NUMBER: 2020022601
DECEDENT INFORMATION
Name of Deceased Date of Death
GERT HUGO WOLFANG February 6,2020
Place of Death-County City,Town or Location Name of facility,or street address If not a facility
MARTIN STUART SOLARIS HEALTHCARE PARKWAY
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.
GEORGE N SCOTT F044266
Medical Verification Statement
LENOX REID at the certifying physician's office,was contacted on 02/06/2020 by the funeral director listed above;he/she Indicated
that JOHN C CROUCH,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-F064804-5179
�K� -- Date Issued: February 6,2020
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number: C20-19-02-NEPT8
4. CEMETERY OR CREMATORY
Place of Disposition: TRICOUNTY 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 Gert H Wolf ang Age:
Lot Owner: Gert H & Charlotte Wolfang
Lot# Seneca 21 A Grave# 1
Case: Urn
Died: 2. 6.2020 Interred: 1 0.8.22
FuneralHome:Neptune Society
Cemetery: Pompano Beach F064804
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
Record of Interments 1_c) a,,L„
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