Abare, Richard Abare NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Richard Paul Abare Male
Date of Death Age If Veteran of U.S.Armed Forces,
11/17/2019 77 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Queensbury Town Street Address The Stanton Nursing And Rehabilitation Centre
a Manner of Death UJI R1 Natural Cause Accident �Homicide 1:1 Suicide El Undetermined �Pending
Circumstances Investigation
W Medical Certifier Name Title
Wendy Steinhacker PA
Address
152 Sherman Ave,Queensbury Town,New York 12801
Death Certificate Filed District Number Register Number
City,Town or Village Queensbury 5657 167
❑Burial Date Cemetery,Crematory or Facility Name
11/18/2019 Pine View Crematory
❑Entombment Address
ECremation Queensbury Town,New York
Donation
z Removal Date Place Removed
and/or and/or Held
Hold Address
O
IL Date Point of
(A Transportation Shipment
jS by Common
Carrier Destination
❑Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Regan&Denny Funeral Service 01444
Address
94 Saratoga Ave,S Glens Falls,New York 12804
Name of Funeral Firm Making Disposition or to Whom
I Remains are Shipped,If Other than Above
Address
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/18/2019 Registrar of Vital Statistics Carvrite.9lt�gard--Bad--r(Ek--tronkaffySon4
(signature)
District Number 5657 Place Queensbury, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
2
W Date of Disposition 111141 11 Place of Disposition �fmc ✓/�
� (address)
W
� (section) //ot number/. (grave number)
Name of Sexton or Person in Charge of Premises r L h40
/ (p ase print)
W /
Signature - Title
DOH-1555(07/18)p t of 2
i '
Public Health Law Sec. 4145(2b) 113 0 8 6
Receipt
Human remains of - delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#