Finch, Steven Brian NEW YORK STATE DEPARTMENT OF HEALTH - Transit Permit
Bureau of Vital Records Burial
Name First Middle Last Sex
Steven Brian Finch Male
Date of Death Age If Veteran of U.S.Armed Forces,
09/26/2020 66 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Poughkeepsie Town Street Address Mid-Hudson Valley Division Of Westchester Medical Center
pManner of Death Natural Cause 0 Accident 0 Homicide ❑Suicide ❑Undetermined Di Pending
W Circumstances Investigation
W Medical Certifier Name Title
Mark Papish MD
Address
241 North Rd,Poughkeepsie Town,New York 12601
Death Certificate Filed District Number Register Number
City,Town or Village Poughkeepsie 1363 277
Burial Date Cemetery,Crematory or Facility Name
09/30/2020 Pine View Crematorium
0 Entombment Address
0 Cremation Queensbury Town,New York
0 Donation
Removal Date Place Removed
and/or and/or Held
- Hold Address
0
Date Point of
(I) u Transportation Shipment
p by Common
Carrier Destination
Disinterment Date Cemetery Address
Reinterment
Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Carleton Funeral Home Inc 00281
Address
68 Main Street,P.O.Box 67,Hudson Falls,New York 12839
Name of Funeral Firm Making Disposition or to Whom
1— Remains are Shipped,If Other than Above
Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 09/29/2020 Registrar of Vital Statistics ¶Felicia Lee Salvatore(Electronically Signed)
(signature)
District Number 1363 Place Poughkeepsie, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z Date of Disposition Z To Place of Disposition AZ,J'��
2 (address)
W
CC
N (section) (Jot number) (grave number)
0 Name of Sexton or Person in Charge of Premi Al k.. �
Z ( ase print)
W Signature [. Title 47 /
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b)
r14.Ashr)1
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#