Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Raggi, Peter
4 NEW YORK STATE DEPARTMENT OF HEALTH „ Vital Records Section Burial "" s . t' Name Firs M"ddle Last �a , Ste` t. Date of Death l Age cc ; If Veteran of U.S.Armed For ©� 12 ,C)fl Oho War or Dates 1 -k Place of Death Hospital, Institution or 1. (+ Town or e CV�il�jbOC Street Address L© o'c1 t, J annex of Death J Natural Cause Accent Homicide Suicide Q Ur ermined` i?erxiirt€ Circumstances n till Medical Certifier Nvme m Title 3 Acldre ,F Death Certificate Filed Di , ' t Number gs r caber • ,Town or) ��e�n� C ; J� 'l It 1p r Burial ; Date 1 Cemetery or Crematory � Ur 11�2 VI.CU.) Address [Cremation O uc Date ; Place Removed t—t Removal artdlQr and/or Held Address 1,! Hold Date F Point of Transportation • Shipment by Common Destination Carrier 0 Disinterment Date Cemetery Address Reinterment Date Cemetery Address '; Permit Issued o Mtion Number Name of uneral Home 1'` �.\�� f�X�&C.sc.\ �061� d Address � -- ' Name of Funeral Firm Making.Disposition or to Whom Remains are Shipped,.If Other than Above Address Permission is hereby granted to dispose of the human remains described abo indicated. Date issued9„11,3 Jc�G I Registrar of Vital Statistics ,�._� Cf it___ i re/ District Number �j jt '1 Place—) I certify that the remains of the decedent identified above+rer disposed of in ac • •ance Wi, this permit on: Date of Disposition q l 17- : Place of Disposition J/ C / lh► . 644 -�/71 (address) flat ( 1 i- otnunr�ierl Egra+ro,rc�stsa Name of Se +.. or Person in Charge of Premises CM./ F f print) Signature `va.—. Li < . - Title (over) DOH-1;555 (02//2004) RAGGI Lot No. 26 E Address 4 0 Lc C ouk r+ t Ua -I Section No. Owner Peter & Rosemary Raggi Plot Erie Date 7/11 /2014 Approx. 67 Superficial ft. Location Bounded on the North by Chatham, East by Steele West by Chatham and South .by Raggi iRosE nAA_ y Corner Posts Remarks 760-402-7060 Deed No. (and changes) 3859 Payment Record Paid in full on 7/11 /2014 ( $1 , 400. 00) Record of Interments ;Te R , I c FiS. - 9I14617 CN AT AA U U 2 5 CYNnC-� 1 - k o. n. ,e:.12 '1 3 n t1 4 XA s 2li STEELE c ..A,k_ cacti A yob ©lnC Form No. 01 S< j RAGGI l,�T NAME Age: Peter r. Raggi <. .. 86 Lot Owner: Peter & Rosemary Raggi Lot# Erie #26E Grave# 1 Case: Concrete Died: 9/1 2/2 017 Interred: 9/1 4/2 01 7 Funeral Home: MB Kilmer Funeral Home Cemetery: Pine View Cemetery