Loading...
Ryan, Edward Michael NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Edward Michael Ryan Male Date of Death Age If Veteran of U.S.Armed Forces, 01/18/2020 55 Years War or Dates 1981-1983 Place of Death Hospital,Institution or Z City,Town or Village Moreau Town Street Address 59 Feeder Dam Road, Moreau Town, New York 12803 pManner of Death © Natural Cause Accident Homicide Suicide Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title David DeCelle Coroner Address 40 McMaster Street,Ballston Spa,New York 12020 Death Certificate Filed District Number Register Number City,Town or Vi Rage Moreau 4562 5 ❑Burial Date Cemetery,Crematory or Facility Name 01/24/2020 Pine View Crematory Entombment Address RI Cremation Queensbury Town,New York Donation ZO Removal Date Place Removed and/or and/or Held Hold Address Point UDate Transportation b by Common Shipment Carrier Destination Disinterment Date Cemetery Address � Ej Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan 8 Denny Funeral Service 01444 Address 94 Saratoga Ave,S Glens Falls,New York 12804 Name of Funeral Firm Making Disposition orto Whom f., 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 01/23/2020 Registrar of Vital Statistics Geeann 94c cabe(ECectronicalTySigned) (signature) District Number 4562 Place Moreau, New York t I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition ;��=Zn2v Place of Disposition B, n)e- ► f inew Uj (a ss W (sectimr) (lot number) (grave number/ Name of Sexton or Person in C e of P ses ��f a� 041"1 8lV7`` eprint/ W Signature Title DO H-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 013276 Receipt Human remains of delivered on , 20— Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# s