McGarr, Sean I (110
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Sean Harrington McGarr Male
Date of Death 1 Age If Veteran of U.S. Armed Forces,
September 20,2011 44 War or Dates
Place of Death Hospital, Institution or
• City, Town or Village Glens Falls I Street Address 33 Staple Street
Lit Manner of Death . Natural Cause Accident Homicide Suicide Undetermined Pending
ttf Circumstances Investigation
w Medical Certifier Name Title
( I Mc i Y kit u.e PAY C_a2o0
Address
52 'LA'^J_ Amt. (ems Ws, tJy ( ago I
Death Certificate Filed i District Number ; Register Nu er
City, Town or Village Glens Falls 5601 7P '?
❑Burial Date Cemetery or Crematory
September 22, 2011 ' Pine View Crematorium
❑Entombment Address
❑x Cremation Quaker Road, Queensbury, NY 12804
Date Place Removed
Z Removal j and/or Held
and/or Address
r' Hold
N
O Date Point of
NI I Transportation Shipment
a by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment Date ! Cemetery Address
Permit Issued to i Registration Number
Name of Funeral Home Regan& Denny Funeral Home 01443
Address
53 Quaker Road, Queensbury, NY 12804
Name of Funeral Firm Making Disposition or to Whom
1.4 Remains are Shipped, If Other than Above
S Address
re
tit
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued Gj / 2 3 pi Registrar of Vital Statistics
(signa
District Number 5601 Place Glens Falls 7/A!j' /Q2W/
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
W Date of Disposition 'i 123lti Place of Disposition -f'tnN(1Al.) Ci►etefor•.1
W (address)
Cl)
CC (section) L (lot numbs (grave number)
pName of Sexton or Pers n in Charge Premises i,�-� .v-itt
Z ///"` (please print)
W
Signature Title CIL ►1l1-)Tvi--
(over)
DOH-1555(02/2004)