The URL can be used to link to this page

White, Duane M ( 33 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Duane M White Male Date of Death Age If Veteran of U.S.Armed Forces, 02/03/2021 77 Years War or Dates Not known Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital p Manner of Death ©Natural Cause 0 Accident Homicide Suicide ❑Undetermined ❑Pending Circumstances Investigation W Medical Certifier Name Title 0 Gabrielle Rieth MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 0410 ElBurial Date Cemetery,Crematory or Facility Name 02/04/2021 Pineview Crematory ElEntombment Address 0 Cremation Queensbury Town,New York Donation Z Removal Date Place Removed and/or and/or Held t-N Hold Address 0 a Date Point of U� ❑Transportation p by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom F— Remains are Shipped,If Other than Above a Address CC a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/04/2021 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed) (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: Z Date of Disposition P/5- 1 Z , � Place of Disposition FAO- at__ d.•- (address) W cc /sedan/ number) (grave number) 0 Name of Sexton or Person in Charge of P 'ses Z (please pgint) W Signature ,�� Title ��7�v4 g '' DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0 .�4 4 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#