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Duggan, William J NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Pe emit Bureau of Vital Records Name First Middle Last Sex William J.Duggan Male Date of Death Age If Veteran of U.S.Armed Forces, 04/23/2021 56 Years War or Dates �.. Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital 'p Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide El Undetermined ❑Pending Circumstances Investigation WMedical Certifier Name Title O Amanda Mener Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 1111 ❑Burial Date Cemetery,Crematory or Facility Name 04/26/2021 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York ❑Donation Removal Date Place Removed and/or and/or Held Hold Address O Q. 1-1 Date Point of U) ❑Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address 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 -. Remains are Shipped,If Other than Above M Address CIC IW O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/26/2021 Registrar of Vital Statistics Danielle S CilCespie(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: /7 Z Date of Disposition 9 Jj/?g Place of Disposition *.,IL L /4-drk-, t!J (address) W CC (section) (lot number) (grave number) ' g Name of Sexton or Person in Charge of Pre ses (4 r,; Z (lease print) Iii Signature /f Title arm kiTVIt DOH-1555(07/18)p 1 of 2 ,.:20-• 4 Public Health Law Sec. 4145(2b) `_) 14739 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#