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Parisi, Stephen NEW YORK STATE DEPARTMENT OF HEALTH • Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Stephen Parisi Male Date of Death Age If Veteran of U.S.Armed Forces, 12/19/2020 81 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital Manner of Death © W Natural Cause 1=1 Accident El Homicide Suicide El Undetermined El Pending Circumstances Investigation WQ• Medical Certifier Name Title Patricia Northrup PA Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 2839 ❑Burial Date Cemetery,Crematory or Facility Name 12/22/2020 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York Donation OZ ❑ Removal Date Place Removed and/or and/or Held N Hold Address 0 Date Point of Cl) Transportation p by Common Shipment 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 Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/21/2020 Registrar of Vital Statistics I@anielhS Gi/Cespie(ECectronica(CySigned) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: IF— L' W Date of Disposition /2 23-Zc°ZG& Place of Disposition j�,l ,,l Cd.J l/Qwt44^/ 2 (address) W CO CC (section) , I (lot number) (grave number) O Name of Sexton or Pe An in Charge of Premises t?h �G m4e Z / (please print) /W 47- Signature I, / 'I!� Title G�mi'�y 4e'/ DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0 14 31 5 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# = ' ` r �