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Abbatantuono Jr.,Vito
32 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Vito Abbatantuono Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 01/07/2022 74 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pManner of Death ©Natural Cause ❑Accident ❑Homicide ❑Suicide 0 Undetermined ❑Pending W Circumstances Investigation W Medical Certifier Name Title G Asim Chaudry MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 26 ❑Burial Date Cemetery,Crematory or Facility Name 01/11/2022 Pine View Crematory ❑Entombment Address lCremation Queensbury Town,New York ❑Donation ❑Removal Date Place Removed and/or and/or Held Hold Address N 0 a. Date Point of N) ❑Transportation Shipment by Common Carrier Destination ElDisinterment 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 Remains are Shipped,If Other than Above S Address ILI O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/11/2022 Registrar of Vital Statistics Megan Wofin(ECectronwalfy 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: Date of Disposition IIj31iZ Place of Disposition 174LIL.- flu 2 (address) W Q (section) 4(lot number) (grave number) 8 Name of Sexton or Person in Charge of remises r-L Seta' Z (please riot) w C+ 19 Signature Title DOH-1555(07/18)p 1 of 2 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 Directors Reg.or License#