Loading...
Cabelo, Antonio mo NEW YORKSTATE DEPARTMENT OF HEALTH" I ., Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Antonio Cabelo Male Date of Death Age If Veteran of U.S.Armed Forces, 05/10/2020 67 Years War or Dates F Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital LU pManner of Death © Natural Cause Accident Homicide Suicide Undetermined Pending U Circumstances Investigation W Medical Certifier Name Title C1 Kelly Maley PA Address 100 Park St,Glens Falls, New York 12801 Death Certificate Filed District Number Register Number City,Town orVittage Glens Falls 5601 209 Burial Date Cemetery,Crematory or Facility Name 05/13/2020 Pine View Crematory Entombment Address Lai Cremation Queensbury Town, New York Donation z Removal Date Place Removed and/or and/or Held E- N Hold Address O G. Date Point of to Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Brewer Funeral Home Inc 00211 Address 24 Church Street PO Box 500, Lake Luzerne, New York 12846 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Otherthan Above Address W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/12/2020 Registrar of Vital Statistics P&ErtAn&eivOirtiS(Ekdrerrdly89W (signature) District Number 5601 Place Glens Falls, 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 Z Place of Disposition PTV /r?t•,t W (address) r� W N (section) (lot number) (grave number) X 1 Name of Sexton or Person' harge of Premises L (please print) W Signature Title DOH-1555(07/18)p 1072 Public Health Law Sec. 4145(2b) 13 8 9 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#