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Bovee Sr. Ronald A NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ronald A Bovee Sr Male Date of Death Age If Veteran of U.S.Armed Forces, 03/31/2021 80 Years War or Dates 1961-62 F— Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death ©Natural Cause 0 Accident 0 Homicide El Suicide El Undetermined 0 Pending W Circumstances Investigation W Medical Certifier Name Title CI Scott Biasetti MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 162 ElBurial Date Cemetery,Crematory or Facility Name 04/05/2021 Pineview Crematory ElEntombment Address ©Cremation Queensbury Town,New York EIDonation z 0 Removal Date Place Removed and/or and/or Held pfn Hold Address Off. Date Point of t/) ❑Transportation Shipment Q by Common Carrier Destination ElDisinterment 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 H Remains are Shipped,If Other than Above a Address It W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/01/2021 Registrar of Vital Statistics Robert Andrew Curtis(Electronically 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: IH �y z Date of Disposition '7/S f Zi Place of Disposition ` I ia.U.- 4 __. 2 (address) W NCr (section) 4 (lot number) (grave number) 8 Name of Sexton or Person in Charge of P mises at r, S vi' z / (p/edse print) W L//r/jJ Title `l `ierra�' Signature DOH-1555(07/18)pi of 2 Public Health Law Sec. 4145(2b) 014691 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral borne.nametr n burial permit Official Funeral Directors Reg.or License# •