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Weinberger,Stephen Carl NEWYORKSTATEDEPARTMENTOFHEALTH Bureau of Vital Records Burial — Transit Permit Name First Middle Last Sex Stephen Carl Weinberger Male Date of Death Age if Veteran of U.S.Armed Forces, 12/07/2020 78 Years War or Dates Korea Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital 111 p Manner of Death ❑X Natural Cause Accident ❑Homicide ❑Suicide Undetermined Pending W U Circumstances Investigation WQ Medical Certifier Name Title Julian Marynczak PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 563 ©Burial Date Cemetery,Crematory or Facility Name 12/12/2020 Pine View Cemetery ❑Entombment Address Cremation Queensbury,New York ElDonation 0 Removal Date Place Removed and/or and/or Held ~ Hold Address 111 Q. 1-1 Date Point of t!) ❑Transportation p by Common Shipment Carrier Destination ElDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F— Remains are Shipped,If Other than Above 2 Address 1r W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/10/2020 Registrar of Vital Statistics R96ett ttiTrewCurtic(Ekctronica(Srgned (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: lr Z Date of Disposition 12/12/2026laceofDisposition 21 Quaker Rd. Queensbury, NY 12804 (address) W Oneida 46 4 N Q (section) (lot number) (grave number) GName of Sexton or Person in Charge of Premises Connie Goedert 2 (please print) W Signature • Title superintendent DOH-1555(07/18)p 1 of 2 • 1 Public Health Law Sec. 4145(2b) 0 1 2 8 2 7 Receipt 1 ,_. 1 Human remains of -- i--- 1 .. A 1 , -:.,, i_ ,, ,-k delivered on .. ',- - .- , 20 1 ' I : / . 'ne View Cemetery Representing the funeral home named on huirifd permit . Official Funeral Directors Reg.or License# I.( l Weinberger NAME Stephen Carl Weinberger Age: 78 L� g Lot Owner: Dennis Abenante Lot# Oneida 46 Grave# 4 Case: Concrete Died: 12/7/2020 Interred:12/12/2020 Funeral Home: Regan Denny Stafford FH Cemetery: Pine View Af�BENANPE Lot No. 16 Address 10627 Washington Rd., Sc. Ulens Falls, N.Y. Section No. • Owner AhhenantP Plot Oneida Date:, -6/7/79 135 Superficial ft. @ $500.00 Location Bounded on the North by Vacant, East by Path, South by 'Lackey, West by Vacant Corner Posts Remarks Deed No. (and changes) 1537 Payment Record Paid in full 6/7/79 Form No. 01 Record of Interments Ark IA' Arthur .1_ Parent Jr. (A/7,/79) I S 2 Dorothy Mae Parent 7/15/97 I 'fP_horah WPi nhPrgr 1 n/1 n/7(l1 9 FJS 4 Stephen /20J08 FI/S Carl WeinbPrgPr ROD 12/ 1r/9CAA/ 4 1?Ar-fl