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Geraghty Jr., Elihu R. i 114 NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial Transit Permit Name First Middle Last Sex Elihu R.Geraghty Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 10/25/2020 80 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Colonie Town Street Address 7 Avery Road,Colonie Town,New York 12110 W Manner of Death Undetermined Pending Q © Natural Cause �Accident �Homicide �Suicide W Circumstances Investigation W Medical Certifier Name Title a Frank Fera MD Address 582 New Loudon Road 7,Latham Hamlet,New York 12110 Death Certificate Filed District Number Register Number City,Town or Village Colonie Town 0153 331 Burial Date Cemetery,Crematory or Facility Name 10/29/2020 Pine View Crematory Entombment Address lCremation Queensbury Town,New York Donation Z Removal Date Place Removed and/or and/or Held Hold Address N 0 EL Date Point of (A Li Transportation Shipment 5 by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above 2 Address CC E' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/28/2020 Registrar of Vital Statistics Julie L cansfe(ECectronica1Ty Signed) (signature) District Number 0153 Place Colonie Town, 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 JOI Z' lb Place of Disposition c1� 2 (address) W CC N (section) (lot number) (grave number) Name of Sexton or Person in Charge of Premises Tr �' �vo+� (ple e print AlioltrAL W Signature Title DOH-1555 07/18)pi of 2 Public Health Law Sec. 4145(2b) r . jr Receipt Human remains of delivered on , 20 i f / is r Pine View Cemetery Representing the'ftirieral home named on burial permit Official Funeral Directors Reg.or License#