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Durkee, Arthur NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Biostatistics -Vital Records Section Name First Middle Last Sex Arthur Durkee :: Male Dat......::::::. .. ......................................................................... o Death Age M Veteran of U.S.Armed Forces, 03-03-89 84 War or Dates no Place of Death Hospttal, Institution or City,Town or Village Town of Granville `i Street Address Granville Nursing Home ............................................................................................ Cause of Death Pneumonia Medical Certifier Name Title David Foote, M.D. Medical Physician Address 25 George Street, Fort Ann, NY :::..............,................................................... ..................................... rt ca d District Number Register Number City,Town or Village GRANVIL-E 5756 b Date Cemetery or Crematory Burial > 03-06-89....:.::...................................€.........Pine..View...Cremator ................ ©Cremation Address Queensbury, NY 12804 >: Date :::::.................................................................. ................................... ..................................................................................................... Place Removed ' ❑ Removal `' and/or Held and/or Hold :::....._......................:::::::::::: Address t?>::::::::::.................................. ..........::::::::::::::::::..........................................................,.::::::::::::::.,.:::::::.............: ......::::.:......:......: ......::: ...... ......:::. Date Point of R ❑Transportation by Shipment ,:. Common Carrier .............................................................................................................................. Destination .......... ................... ate::................:.........,......:..:....,....,.......... :::Camel:,. .::.Acidre::: ........................... ❑ Disinterment ery ................................................................................................ ❑ Reinterment to ; Cemetery Address Permit Issued to ; Registration Number Name of Funeral Firm Regan & Denny Funeral Service, Inc. 02883 Address ::::::::::::,.,:::.,.:::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::.::::::::::::::....:......:::::::::::.:::::::::::::::: Quaker Road, Queensbury, NY 12804 N . f.F , ... ".--,: s.%%. ," —"---:::.,..-. .................. . ..................................... ameouneralF M9DPosition orto Whom ........ Remains are Shipped, 9 Other than Above I Address _ - - Permission Is hereby granted to dispose of the h remains r above as indicated. Date Issued 3/6/69 Registrar of Vital Statist" (signature) District Number 5756 Place Gr nv ll e , New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition g Place of Disposition �/ uJ> (address) 0. tY (section) (lot number) (grave number) Name of Sexton Person in harge of Pre ises Z! Au (please Imo) " r/ i TT .7171:.. Signature Title �Y DOH-1555(9/86)p 1 of 2(formerly VS-61)