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Carey, Bonnie Marie 4 (07C NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Bonnie Marie Carey Female Date of Death Age If Veteran of U.S.Armed Forces, 08/10/2021 67 Years War or Dates Place of Death Hospital,Institution or IJJ• City,Town or Village Granville Town Street Address Slate Valley Center for Rehabilitation and Nursing O Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending UJ Circumstances Investigation E Medical Certifier Name Title 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 64 ❑Burial Date Cemetery,Crematory or Facility Name 08/13/2021 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury,New York ❑Donation ❑Removal Date Place Removed and/or and/or Held f- Hold Address CO 0 IL 1-1 Date Point of iA ❑Transportation "Ca by Common Shipment Carrier Destination Date Cemetery Address ❑Disinterment ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan&Denny Funeral Service 01444 Address 94 Saratoga Ave,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom tRemains are Shipped,If Other than Above 2 Address ac W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/12/2021 Registrar of Vital Statistics Jenny Linda M Martef(e(E(ectronica((y 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: Date of Disposition e/9-j;Z/ Place of Disposition T :A e ift`,e v C I rgett 4412 r 4 MIJ 2 (address) W CO (section) (lot number) (grave number) gName of Sexton or Person in Charge f Premises "Fiar/e.0.r✓,I F. if Z (please print) W Signatures S Title c...14254— DOH-1555(o7/18)p 1 of 2 ..... i I 041 Public Health Law Sec. 4145(2b) Receipt Human remains of --' �,` delivered on -- , 20 " Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directots Reg.or License# i _ ':