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Warrington, Joseph E.
S] NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Pertnit Bureau of Vital Records Name First Middle Last Sex Joseph E.Warrington Male Date of Death Age If Veteran of U.S.Armed Forces, 04/16/2021 54 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Warrensburg Town Street Address 84 Hudson St.,Warrensburg Town,New York 12885 • Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending ILI 0 Circumstances Investigation WG Medical Certifier Name Title Michael Bell MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village Warrensburg 5660 12 ❑Burial Date Cemetery,Crematory or Facility Name 04/20/2021 Pine View Crematory ❑Entombment Address ElCremation Queensbury Town,New York ❑Donation 0 ❑Removal Date Place Removed and/or and/or Held N Hold Address 0 coCL Li Date Point of p by Common Shipment Carrier Destination Date Cemetery Address El Disinterment Date Cemetery Address El Reinterment 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 1— Remains are Shipped,If Other than Above a Address CC W 0- Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/19/2021 Registrar of Vital Statistics Pamela M Lloyd(ECectronica1Cy Signed) (signature) District Number 5660 Place Warrensburg, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H � WDate of Disposition y hi /ZI Place of Disposition �I"I&Jill ,�t 01 2 (address) W N CC (section) (lot nu ber) (grave number) G Name of Sexton or Person in Charge of Premises `� .-�l^"'w'� (please print) IU Signature `=i! ,J Title atf.44141-04.. DOH-1555(07/18)pi of 2 Public Health Law Sec. 4145(2b) 014727 Receipt Human remains of delivered on , 20 i Pine View Cemetery Repress ne ting the funeral home named on burial permit Official Funeral Directors Reg.or License# •