Loading...
HomeMy WebLinkAbout3-25-01State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: February 26, 2025 TRACKING NUMBER: 2025040353 1. DECEDENT INFORMATION Name of Deceased Date of Death JOHN D LACENERE February 22, 2025 Place of Death -County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER FELLSMERE 9306128TH COURT Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lie. No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772)589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer MARYA.KOPCHAK Fla. Lie. No./Reg. No. F486444 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: 2025-F041870-5036 Date Issued: February 24, 2025 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 1g Approval Number: C25-19-02-STRK25 4• CEMETERY OR CREMATORY Place Of Disposition: VERO BEACH 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