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Flauto, Frank NEW YORK STATE DEPARTMENT OF HEALTH (MLF / Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Frank Flauto Male Date of Death Age If Veteran of U.S.Armed Forces, 08/06/2021 92 Years War or Dates 1949-1950 �,. Place of Death Hospital,Institution or W City,Town or Village Granville Town Street Address Slate Valley Center for Rehabilitation and Nursing p Manner of Death © Natural Cause El Accident ❑Homicide ❑Suicide ID Undetermined ❑Pending W Circumstances Investigation fa Medical Certifier Name Title CI Leonard Gelman MD Address 10421 State Route 40,Granville Town,New York 12832 Death Certificate Filed District Number Register Number City,Town or Village Granville 5756 63 ©Burial Date Cemetery,Crematory or Facility Name 08/12/2021 Pine View Cemetery ❑Entombment Address ❑Cremation Queensbury Town,New York ElDonation O• ElRemoval Date Place Removed and/or and/or Held Hold Address (/) LiTransportation Date Point of 5 by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F. Remains are Shipped,If Other than Above g Address W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/11/2021 Registrar of Vital Statistics Jenny Linda M Marte(Ce(E(ectronica(fy Signed) (signature) District Number 5756 Place Granville, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WDate of Disposition 8/12/2021 Place of Disposition21 Quaker Rd Queensbury, NY 12804 2 (address) W Huron 20G 1 Q (section) (lot number) (grave number) O▪ Name of Sexton or Person in Charge of Premises Connie Goedert Z (please print) W Signature 41.4;4. 0 .c Title Superintendent DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 012868 1 Receipt Human remains of t x �'� ,,..livered on , 20�+ 'Y Pi1View Cemetery Representing the funeral ime named'on burial permit Official Funeral Directors Reg.or License# -, / " FLAUTO-BUFF W. {..� 1(11) Lot No. idress PO Box 2253 . Glens Falls , NY 12801 Section No. wner Frank , Carmen Flauto & Marie Buff Plot Huron ate 8/25/99 Approx . 100 Superficial ft. )cation Bounded on North by Corentto & Burt , South by Butler , East by Burt , West by LeClair . rrner Posts marks NOTE : Grave #1-Frank-Grave #2-Carmen-Grave #3-Marie FL Aura iq a- ?A gfa eed No. (and changes) 2982 Lyment Record Paid in Full 8/25/99 ($1 , 050 . 00) xord of Interments 1 ,,t_ y Lo . cC)a I 1TC-Cki1Y- +1-Cu.A. VS , )- - ► G, e- iar-yx,i4r)r) r)6j,16 Vs- ?-(22 Mg 6 � \vit: Marie Buff 4/1/03 4 d 3 q I. id o— E N q A CA T-7- rm No. 01 FLAUTO NAME Frank Flauto Age: 92 (If) Lot Owner: Frank, Carmen Flauto & Marie Buff Lot# Huron 20G Grave# 1 Case: Concrete Died: 8/6/2 0 21 Interred:8/1 2/2 0 21 Funeral Home: Regan Denny Stafford Cemetery: Pine View