Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Bidwell Sr., Bryan Charles
(3•7:3 -,„••,,..„i„.. NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Bryan Charles Bidwell Sr Male Date of Death Age If Veteran of U.S.Armed Forces, 12/19/2020 77 Years War or Dates Air Force Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death ©Natural Cause Accident ❑Homicide ❑Suicide Undetermined ❑Pending Circumstances Investigation GMedical Certifier Name Title Kelly Maley PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 584 ❑Burial Date Cemetery,Crematory or Facility Name 12/21/2020 Pine View Crematory Entombment Address 1 Cremation Queensbury Town,New York ❑Donation Z Removal Date Place Removed O and/or and/or Held H Hold Address N in ❑Transportation Date Point of a by Common Shipment Carrier Destination Disinterment 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 1— Remains are Shipped,If Other than Above ,S Address cc W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/21/2020 Registrar of Vital Statistics Roden Andrew Curtis(ECectronica1ty Signed) /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: Date of Disposition i L-2,Z-Z021 Place of Disposition /91h i._;z 1 G-r2 _. UJ 2 (address) W Q (section) -�.J (lot number) (grave number) gName of Sexton or Person• harge of Premises h'it Gm 64..wl.�{/ Z /p/easeprint/ '�� lW Signature Title ��1'1? wf_� �//1 G DOH-1555(07/18)p 1 of / Public Health Law Sec. 4145(2b) R _... Receipt Human remains of delivered on , 20 i Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#