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Bedell, Tena M.
l NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Tena M.Bedell Female Date of Death Age If Veteran of U.S.Armed Forces, 11/28/2019 67 Years War or Dates rs Place of Death Hospital,Institution or Z City,Town or Village Glens Falls %etAddress Glens Falls Hospital Manner of Death ©Natural Cause Accident icide Suicide Undetermined Pending Uj Circumstances Investigation Medical Certifier Name Title Stephen Perazzelli MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 515 Burial Date Cemetery,Crematory or Facility Name ❑ 11/29/2019 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation and/or Date Place Removed 01 �Removal and/or Held Hold Address ❑Transportation Date Point of p by Common Shipment Carrier Destination Disinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom �• Remains are Shipped,If Other than Above Address W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/29/2019 Registrar of Vital Statistics W96ertAndrew Curtis(E(ectronicaflySigned) /signature) District Number 5601 Place Glens Falls, New York certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition �? Place of Disposition 0,111-1 Ad I,, W /address) W te to (sect&) (lot number) (grave number/ Name of Sexton or Person in Charge of PLermses ro h4lw�1 Z (p se print) W' Signature 4 Title DOH-1555(07/18)p I of 2 Public Health Law Sec. 4145(2b) Receipt J Human remains of C�' delivered on , 20 Pine View Representing the funeral home named on burial permit # Official Funeral Directors Reg.or License S