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Ratto, Fred Carmen NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Fred Carmen Ratto Male Date of Death Age If Veteran of U.S.Armed Forces, 02/02/2022 91 Years War or Dates 1951-1953 i,_ Place of Death Hospital,Institution or WCity,Town or Village Granville Town Street Address Slate Valley Center for Rehabilitation and Nursing V Manner of Death ©Natural Cause Accident 0 Homicide Suicide Undetermined 0 Pending Circumstances Investigation G Medical Certifier Name Title Joshua Started NP Address 10421 State Route 40,Granville Town,New York 12832 Death Certificate Filed District Number Register Number City,Town or Village Granville 5756 9 ❑Burial Date Cemetery,Crematory or Facility Name 02/03/2022 Pine View Crematorim 0 Entombment Address aCremation Queensbury Hamlet,New York Donation ❑Removal Date Place Removed F- and/or and/or Held (.0 Hold Address 0 a. Date Point of U) ❑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 f— Remains are Shipped,If Other than Above g Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/03/2022 Registrar of Vital Statistics jenny Lined M JKarte(e(`ECectronicaly 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: W Date of Disposition d•-q-,:;.). Place of Disposition pi, vC,ti,/ C,C,,.rakr„ 2 V, (address) W CC N (section) (lot number) (grave number) SName of Sexton or Perso in Charge of Premises Jr-C r^ZY Z9A,11C� s (please print) W Signature Title c,le,pi.cLfor" DOH-1555(07/18)p 1 of 2 1,11 5 r) Public Health Law Sec. 4145(2b) Receipt • Human remains of ' delivered on ' , 20 Pine View Cemetery Representing the funeral home named on burial permit ificial Funeral Directors Reg.or License#