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Ovitt Jr.,Gerald L
it 701 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Gerald L Ovitt Sr Male Date of Death Age If Veteran of U.S.Armed Forces, 02/18/2021 79 Years War or Dates 1959-62 Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital WManner of Death ©Natural Cause I=1 Accident ❑Homicide Suicide ❑Undetermined Pending U Circumstances Investigation W Medical Certifier Name Title 0 Anicia Ivey Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 0561 ❑Burial Date Cemetery,Crematory or Facility Name 02/22/2021 Pineview Crematory ElEntombment Address 0 Cremation Queensbury Town,New York ❑Donation Removal Date Place Removed and/or and/or Held ~ N Hold Address O O. Date Point of N ❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment 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 Remains are Shipped,If Other than Above M Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/22/2021 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: WDate of Disposition 2(7T 1?' Place of Disposition �� (a ress) W 0 (section) (lot"giber) �(grave number) 0 Name of Sexton or Person in Charge of Premises [[�� (please prin /� t W Signature C Title C� r� DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 014 5 6e Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#