Plumley, CraigNEWYORK STATE DEPARTMENT OF HEALTH
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Bureau of Vital Records U1 a - rand ermlt
Name First Middle Last
Sex
Craig H. Plumley
Male
Date of Death
Age
If Veteran of U.S. Armed Forces,
10/15/2019
54 Years
War or Dates
IF-
Place of Death
Hospital, Institution or
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City, Town or Village Chester Town Warren
Street Address 923 State Route 28N, Chester Town Warren, New York 12817
Manner of Death Natural Cause Accident Homicide Suicide Undetermined Pending
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Circumstances Investigation
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Medical Certifier Name Title
C
Terry Comeau Coroner
Address
1400 St Route 9, Lake George Town, New York 12845
Death Certificate Filed
District Number
Register Number
City, Town or Village Chestertown
5652
17
Burial
Date Cemetery, Crematory or Facility Name
Entombment
10/21/2019 Pine View Crematory
Address
K❑ Cremation
Queensbury Town, New York
❑ Donation
zRemoval
Date
Place Removed
and/or
and/or Held
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to
Hold
Address
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❑ Transportation
Date
Point of
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by Common
Shipment
Carrier
Destination
❑ Disinterment
Date
Cemetery Address
Reinterment
Date
Cemetery Address
Permit Issued to
Registration Number
Name of Funeral Home Alexander Baker Funeral Home
00037
Address
3809 Main St, Warrensburg, New York 12885
Name of Funeral Firm Making Disposition or to Whom s
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Remains are Shipped, If Other than Above
Address
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Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/18/2019 Registrar of Vital Statistics Minty Conway (EYectronicalTy S6,ne4
(signature)
District Number 5652 Place Chestertown, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
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Date of Disposition Place of Disposition JDM 0— V C,e-0— m
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(address)
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w(section)
lotnumber) (gravenumber)
4
Name of Sexton or Person i a e of Premises G�✓ti ma- vl'
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(please print)
Signature Title
DO H-1555 (07/18) p 1 of 2 '
Public Health Law Sec. 4145(2b)
013008
Receipt
Human remains of t .f delivered on , 20 T
Pine View Cemetery Representing the funeral'home named on burial permit
Official Funeral Directors Reg. or License #