Loading...
Gattie, Christopher D a - 4 ysL NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Christopher D Gattie Male Date of Death Age If Veteran of U.S.Armed Forces, 05/28/2021 73 Years War or Dates f., Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death ©Natural Cause Accident Homicide Suicide Undetermined Pending 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 224 11 Burial Date Cemetery,Crematory or Facility Name 06/02/2021 Pineview Crematory EiEntombment Address ElCremation Queensbury Town,New York Ei Donation Date Place Removed ❑Removal and/or Held H and/or U) Hold Address 0 Date Point of Cl) ❑Transportation Shipment Q by Common Carrier Destination Date Cemetery Address El Disinterment Date Cemetery Address ElReinterment 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 I— Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/01/2021 • 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 onOL I— Zil......__ Z Date of Disposition CO L 1 f Place of Disposition W number) (grave number) U) (section)0 A:,;\-.1\_,L.31v1- �+„l�fioName of Sexton or Person in Charge of P mises /pleasemt/ W Signature Title it TV DOH-1555(07/18)p 1 of 2 • Public Health Law Sec. 4145(2b) LI, . 4 ?3 Receipt Human remains of - delivered on , 20 • . Pine View Cemetery Represtiiiing the funeral home named on burial permit Official Funeral Directors Reg.or License# ) '