Loading...
Hunt, James NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Biostatistics -Vital Records Section >': Name First Middle Last Sex James A. Hunt male Date of Death::::. ............................................::.:.::.AgQ:::::.:.............:::::.If Veteran of U.S.Armed Forces:::::........................................................................ 9 10/1/88 61 War or Dates yes WW II Place of Deathiiii-gai Hospital, Institution or lit City,Town or Village City of Glens Falls Street Address Glens Falls Hospital in Cause of Death cardiac arrhythmias and arrest iiii Medical Certifier Name Title ;Q S. Richard Spitzer MD ::::Address:::....................................................................................................................................................................................................... 90 South Street, Glens Falls, N.Y. 12801 .............................................................. ......istrictNumber...................................................Re lister Number::...................... Death Certificate Filed : D g City,Town or Village City of Glens Falls s�/ .�"J1.3 • Date Cemetery or Crematory 7 ©Burial 10/4/88 Pine View Cemetery ❑Cremation i Address Town of Queensbury, N.Y. :::Z: Date Place Removed 0 ❑ Removal and/or Held 44 and/or Hold ` ::::::::::::::::::::::::;>::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::_ ii Address Ja IL Date Point of : 0 Transportation by Shipment p D Common Carrier ::es:::tinat::ion:::::::::::::::::::::::::::::,::::::::::.:::::.::;>:::.:::::::::::::::::::::.::::::,:::::::::::::::::,.:::::::.....: ❑ Disinterment Date Cemetery Address ii ii ❑ Reinterment Date Cemetery Addres • Permit Issued to Registration Number igii;s€ Name of Funeral Firm Regan and Denny Funeral Service, Inc. 02883 iiE Address 40 Quaker Road, Queensbury, N.Y. 12804 Name of Funeral Firm Making Disposit on o ; : Remains are Shipped, If Other than Above Address ........................................................................................ . . igi Permission Is hereby granted to dispose of the huma rernall describe ,above as indicated. iNi Date Issued /0 - y-:P� Registrar of Vital Statistics ✓ a7 J (signature) District Number `.5�Yi� Placei.... /'o.,,t` �6t / �C I certify that the remains of the decedent identified above were dispose in accordance with this permit on: F- � w Date of Disposition /v�-5f 28 Place of Disposition `I.�c YUe (�1 c Ln} C�i"rn el-QV y t V c°y3 nrs in kr (address) N (section) (lot num r) (grave number) It: O � r r a Name of Se n r Person in Charge of Premises !d N P y c . a s k P v (please pant) i W: Signatur Title DOH-1555(9/86)p 1 of 2(formerly VS-61)