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Fiumara, Tamera Rose McCanney ''g NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Tamerra Rose McCanney Fiumara Female Date of Death Age If Veteran of U.S.Armed Forces, 01/03/2022 38 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital 'p Manner of Death ©Natural Cause 0 Accident 0 Homicide ❑Suicide El Undetermined ❑Pending V Circumstances Investigation W Medical Certifier Name Title Cl Scott Biasetti MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number I Register Number _ City,Town or Village Glens Falls 5601 11 ElBurial Date Cemetery,Crematory or Facility Name 01/07/2022 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York 0 Donation ❑Removal Date Place Removed and/or and/or Held NHold Address O d 1-1 Date Point of co Transportation p 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 Remains are Shipped,If Other than Above 2 Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/06/2022 Registrar of Vital Statistics Megan No/in(E(ectronical(ySigned) (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: Z Date of Disposition /— j�Zd ZZ Place of Disposition ��/`l Q V (a,cJ " rn4747 W (address) W CC N (section) (lot number) (grave number) 8 Name of Sexton or Person' harge of Premises m �" (please print) W Signature Title ct'►irta/°/ DOH-1555(07/18)p 1 of Public Health Law Sec. 4145(2b) G TM{ Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#