Hughes, Ronald # 43'j0
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Ronald E. Hughes Male
Date of Death Age If Veteran of U.S. Armed Forces,
4/22/2018 80 War or Dates
IFS Place of Death Hospital, Institution or
Z City, Town or Village Glens Falls Street Address Glens Falls Hospital
Manner of Death Natural Cause n Accident E Homicide n Suicide ❑Undetermined n Pending
Circumstances Investigation
ui Medical Certifier Name Title
CI Robert Love,MD
Address
3 Irongate Center,Glens Falls,NY
Death Certificate Filed District NumberRegister Number
City, Town or Village C.,)L.,,,5 p,«}) .. I 907
❑Burial Date Cemetery or Crematory
❑Entombment Address
24,2018 Pine View Crematorium
Address
®Cremation 51 Quaker Road,Queensbury,NY 12804
Date Place Removed
ZZ ri I—'Removal and/or Held
and/or Address
H Hold
V)
O Date Point of
N ❑Transportation Shipment
p by Common Destination
Carrier _
❑Disinterment Date Cemetery Address
Ti Renterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Regan&Denny Funeral Home 01444
Address
94 Saratoga Avenue,South Glens Falls,NY 12803
Name of Funeral Firm Making Disposition or to Whom
,I Remains are Shipped, If Other than Above
Address
t>L Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 4/ 25/2v iir Registrar of Vital Statistics 1, wYv\2 Wits
(sign ture)
District Number 5 60 f Place 6 S Fiit (1SJ IV -
r
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z 6Date of Disposition gi3011( Place of Disposition c.v.., c
W (address)
Cl)
O (section) /lot number)54\ (grave number)
p Name of Sexton or Person in Charge of Premises `
Ill (pease print)
Signature Title (9+441k
(over)
DOH-1555(02/2004)