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Watkins, Bryan Patrick
NEW YORK STATE DEPARTMENT OF HEALTH A Burlap - Transit Permit Bureau of Vital Records Name First Middle Last Sex Bryan Patrick Watkins Male Date of Death Age If Veteran of U.S.Armed Forces, 03/06/2020 33 Years Waror Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital W p Manner of Death ©Natural Cause Accident Homicide Suicide ❑Undetermined Pending W (� Circumstances Investigation WO Medical Certifier Name Title Omar Tageldin MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 317 ElBurial Date Cemetery,Crematory or Facility Name �j Entombment 03/09/2020 Pine View Crematorium Address Cremation Queensbury Town,New York ElDonation Removal Date Place Removed and/or and/or Held f- Hold Address Yn O n- Date Point of Cl) Transportation p by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address jElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc T00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom _ 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 03/09/2020 Registrar of Vital Statistics 1DanieCCeSGiCCespie(ECectronicaCCySigned) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H Z Date of Disposition 3 ZO Place of Disposition W (address) W Cl) M (section) (tot number/ (grave number) 2 Name of Sexton or Person in Charge of Premises �� 1 Z (p a print/ W Signature 23 Title DO H-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20-- Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# /