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McNeil, Richard Dennis
NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Richard Dennis McNeil Male Date of Death Age If Veteran of U.S.Armed Forces). 06/27/2021 62 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Hebron Town Street Address 163 Warnick Road,Hebron Town,New York 12809 W Manner of Death Undetermined 0 Pending O © Natural Cause �Accident � Homicide �Suicide W Circumstances Investigation W Medical Certifier Name Title O W Day PA Address 79 North Street,Granville Town, New York 12832 Death Certificate Filed District Number Register Number City,Town or Village Salem 5760 6 0 Burial Date Cemetery,Crematory or Facility Name 06/29/2021 Pine View Crematory Entombment Address 0 Cremation Queensbury Town,New York ElDonation oz Removal Date Place Removed and/or and/or Held N Hold Address 0 0. Date Point of U) ❑Transportation Shipment G by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above I Address CC LU a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/29/2021 Registrar of Vital Statistics Dorothy Worthington(ECectronicaCCy Signed) (signature) District Number 5760 Place Salem, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: ~ DispositionL�30114 Place of Disposition AhA\L ,C '---- ILI Date of (address) 14 CC (section) tk4g (lotnumber) (grave number) ait al Name of Sexton or Person in Charge o, remises (pleal�print) Signature Title DOH-1555(07/18)p 1 of 2 4 Public Health Law Sec. 4145(2b) t U,., Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial,permit Official Funeral Directors Reg.or License#