Binetti, Anthony Joseph NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital.Records
Name First Middle Last Sex
Anthony Joseph Binetti Male
Date of Death Age If Veteran of U.S.Armed Forces,
10/04/2020 56 Years War or Dates
F. Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
'p Manner of Death a Natural Cause Accident I=1 Homicide El Suicide ElUndetermined Ei Pending
V Circumstances Investigation
W Medical Certifier Name Title
G Timothy Murphy Coroner
Address
52 HAVILAND AVE,Glens Falls,New York 12801
Death Certificate Filed District Number Register Number
City,Town or Village Glens Falls 5601 452
❑Burial Date Cemetery,Crematory or Facility Name
10/06/2020 Pine View Crematory
ElEntombment Address
ElCremation Queensbury Town,New York
Donation
ElRemoval Date Place Removed
and/or and/or Held
F- Hold Address
N
0
D. Date Point of
❑
t!) Transportation
p by Common Shipment
Carrier Destination
ElDisinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Maynard D Baker Funeral Home 01130
Address
11 Lafayette St,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
F. Remains are Shipped,If Other than Above
a Address
CC
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/05/2020 Registrar of Vital Statistics Rpdert/ind>pw Curtis(EYectronicalry Signed)
(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:
ZW Date of Disposition /b 17 I Zv Place of Disposition
2 (address)
W
N (seaion) (lot number) (grave number)
SName of Sexton or Person in Charge of Premi s ts, L.number)
Z (plIpse print)
W Signature Title
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 11 4 0 7 3
Receipt
Human remains of ^: delivered on , 20='
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#