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McDowell, Joseph William • � r qLI- l� NEW YORK STATE DEPARTMENT OF HEALTH Burial- Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph William McDowell Male Date of Death Age If Veteran of U.S.Armed Forces, 08/22/2021 88 Years War or Dates F.. Place of Death Hospital,Institution or Z City,Town or Village Johnsburg Town Street Address Elderwood at North Creek 'p Manner of Death ©Natural Cause 0 Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title G John Quaresima MD Address 112 Ski Bowl Road,Johnsburg Town,New York 12853 Death Certificate Filed District Number Register Number City,Town or Village North Creek 5655 29 ElBurial Date Cemetery,Crematory or Facility Name 08/23/2021 Pine View Crematorium Entombment Address 0 Cremation Queensbury Hamlet,New York Donation EIRemoval Date Place Removed and/or and/or Held N Hold Address Date Point of t/) ❑Transportation 5 by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom 1-- Remains are Shipped,If Other than Above a Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/23/2021 Registrar of Vital Statistics Katffeen C.Lorak(ECectronicalySigned) (signature) District Number 5655 Place North Creek, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition ?}.y-;.02,1 Place of Disposition �tie lj;4,,,,ILI (address) W CC (section) (lot number) (grave number) 8 Name of Sexton or Person in Charge of Premises U:CA 1 Z (please print) u Signature Gam!" Title DOH-1555(07/18)p t of 2 - • t 15O62 Public Health Law Sec. 4145(2b) Receipt 40 Human remains of I ` delivered on , 20)"'/. Pine View Cemetery Representing the'funeral homename4 on burial permit Official Funeral Directors Reg. or License#4