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Babbie ,Paul J. • NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Paul J.Babbie Male Date of Death Age If Veteran of U.S.Armed Forces, 03/21/2021 88 Years War or Dates H Place of Death Hospital,Institution or WCity,Town or Village Queensbury Town Street Address 52 Lambert Drive, Queensbury Town, New York 12804 p Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending W V Circumstances Investigation ILI G Medical Certifier Name Title Jennifer Stratton MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village Queensbury 5657 76 ❑Burial Date Cemetery,Crematory or Facility Name 03/23/2021 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York ❑Donation gO ❑Removal Date Place Removed and/or and/or Held ~ Hold Address N 0 O. Date Point of 0❑Transportation Shipment Q by Common Carrier Destination ❑Disinterment Date Cemetery Address El 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 H Remains are Shipped,If Other than Above S Address CC ILl 13. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/22/2021 Registrar of Vital Statistics Caroline 2fiCclegarcfe Barber(ECectronicalTy Signed) (signature) District Number 5657 Place Queensbury, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition 3I24 17j Place of Disposition . 'KtL c_____ W (address) W CC (section) (jlot number) /grave number/ r�� L �n � Name of Sexton or Person in Charge of P 'ses Z 62 (Please int) MI SignatureTitle r ►,tD2 DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) `, � I Receipt Human remains of y k delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# `�,