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Snyder Sr., George
1 P Ass< NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital.Records Name First Middle Last Sex George Snyder Sr Male Date of Death Age If Veteran of U.S.Armed Forces, 07/21/2021 88 Years War or Dates 1954-56 H Place of Death Hospital,Institution or Z City,Town or Village Queensbury Hamlet Street Address 1264 W Mountain Road 214,Queensbury Hamlet,New York 12804 ILI p Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending W U Circumstances Investigation LUt3 Medical Certifier Name Title Curtis Gedney MD Address 454 Glen Street,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Queensbury 5657 151 ❑Burial Date Cemetery,Crematory or Facility Name 07/22/2021 Pine View Crematory ❑Entombment Address ElCremation Queensbury Town,New York ❑Donation Z ❑Removal Date Place Removed and/or and/or Held l- Hold Address N 0 a Date Point of Cl) ❑Transportation p by Common Shipment Carrier Destination Date Cemetery Address El Disinterment Date Cemetery Address ❑Reinterment 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 H Remains are Shipped,If Other than Above 5' Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/22/2021 Registrar of Vital Statistics Caroline Xi(Cegarcie Barber(ECectronicalty Signed) (signature) District Number 5657 Place Queensbury, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: ZW Date of Disposition 7 1t3I 1,f Place of Disposition �„�� 2t --- 2 (a dress) W CC (section) iJ(lgtnumber) (grave number) a0 ((//r/ a fi Name of Sexton or Person in Charge of Pre ' s n '"� Z (plea print) W Signature Title CK DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0143E4 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#