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Trunzi, Filomena NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Filomena Trunzi Female Date of Death Age If Veteran of U.S.Armed Forces, 08/31/2021 82 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital tp Manner of Death © Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending Circumstances Investigation W Medical Certifier Name Title G Robert Love MD Address 3 Irongate Center,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 381 ❑Burial Date Cemetery,Crematory or Facility Name 09/07/2021 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York ❑Donation ElRemoval Date Place Removed and/or and/or Held - Hold Address Cl) Li Transportation Date Point of p by Common Shipment Carrier Destination El 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 1— Remains are Shipped,If Other than Above 2 Address CC W • Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/07/2021 Registrar of Vital Statistics qWert Andrew Curtis(E(ectronicaCCy Signed) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: � WDate of Disposition I'I 1.1 Place of Disposition !l `a IL r+'to 2 (address) W CCCC (section) (lot number) (grave number/ gName of Sexton or Person in Charge of remises M tpL Z L � ,(Please print re ' W {/ Title revEl<aiVK Signature DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt i1 Human remains of delivered on , 20 1 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#