Loading...
LaPoint, Paul Francis bah NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Paul Francis LaPoint Male Date of Death Age If Veteran of U.S.Armed Forces, 06/23/2021 80 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Albany Street Address Albany Medical Center Hospital p Manner of Death © Natural Cause ❑Accident I=1 Homicide Suicide El Undetermined ❑Pending W Circumstances Investigation W Medical Certifier Name Title CI Maria Kofman DO Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 1594 ▪Burial Date Cemetery,Crematory or Facility Name 06/26/2021 Pine View Crematory Entombment Address ElCremation Queensbury Town,New York ❑Donation 0 Removal Date Place Removed and/or and/or Held H Fr) Hold Address 0 O. Date Point of f/) u Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address El Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above 2 Address W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/24/2021 Registrar of Vital Statistics Danielle S Gillespie(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: W Date of Disposition 6-2(�-,ZpZ/ Place of Disposition -p;Joe ('� �.�� Cre1V,E_ (address) W CC N (section) A (lot number) (grave number) Name of Sexton or Person in Charge of Premises a/Mary rc Z (please print) W e /,� �' Title Qe.�it.'�Dr— Signature DOH-1555(07/18)p 1 of 2 14 Public Health Law Sec. 4145(2b) 0 + Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#