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Oehler, Philip NEW YORK STATE DEPARTMENT OF HEALTH , Burial - Transit Permit Vital Records Section ` .— Name First Middle l Last Sex Philip J. Oehler Male Date of Death Age If Veteran of U.S.Armed Forces, June 17,2006 80 War or Dates World War II Place of Death Town of Warrensburg Hospital, Institution or z City,Town or Village Street Address O Manner of Death 0 Natural Cause ElAccident ElHomicide ElSuicide ElUndetermined ❑ Pending Circumstances Investigation V Medical Certifier Name Title W Paul Bachman MD G Address HHHN,Warrensburg,NY 12885 Death Certificate Filed District Number Register Number /Q City,Town or Village Warrensburg 5660 El Burial Date Cemetery or Crematory 6/21/2006 Pine View Crematorium ❑ Entombment Address 0 Cremation Queensbury,NY Date Place Removed z ❑ Removal and/or Held p and/or Address 1- Hold 0 Date Point of d ❑ Transportation Shipment it.) by Common Destination G Carrier Date Cemetery Address n Disinterment Date Cemetery Address ❑ Reinterment Permit Issued to Registration Number Name of Funeral Home Alexander-Baker Funeral Home 00036 Address 3809 Main Street,Warrensburg,NY 12885 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address W dPermission is hereby granted to dispose of the human remai r' ye as i icate.' Date Issued 6-19-06 Registrar of Vital Statistics t Orb -AIIII 2 (sign re) / District Number 5660 Place Warrensburg,NY • 7 I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition 6, -2 i'C . Place of Disposition Al1', t:'-i< E /.tc ?; ILI (address) 11/4 W ta (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Premises 6,a I.,2,Li' C-j: ,, P" 72- 0 (please print) W ` Signature A' -Cc .- ' L'.' e-i .1"4 - Title -- �Z-"= 1 4*14'A DOH-1555(02/2004) (over)