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Ovitt, Ronald Douglas
2Iz NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ronald Douglas Ovitt Male Date of Death Age It Veteran of U.S.Armed Forces, 03/1812022 67 Years War or Dates Place of Death♦if Hospital,Institution or W City,Town or Village Hudson Falls Village Street Address 25 Oak Street, Hudson Falls Village,New York 12839 W Manner of Death n Natural Cause []Accident Homicide Suicide ❑Undetennined []Pending I I Circumstances 1 (Investigation W• Medical Certifier Name idle © Scott Miller PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed Village Of Hudson Falls District Number Register Number City,€own or Village 5726 18 ▪Burial Date Cemetery,Crematory or Facility Name 03/22/2022 Pine View Crematorium Entombment Address ▪Cremation Oueensbury Town,New York Donation []Removal Date Place Removed and/or and%or Held • Hold Address O a. Date Point of U)Elfransportation p by CommonShipment Carrier Destination Date Cemetery Address []Disinterment n Date Cemetery Address I I Reinterment Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12639 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,It Other than Above 5 Address CC 11J a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03312212022 Registrar of Vital Statistics Lynt/ursi1 Burrftn/rF.lsctmni Srr/nud (sfraatare1 District Number 5726 Place Village Of Hudson Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H W Gate of Disposition 3121 IZZ Place of Disposition Fla, 2 w CC U) (se 1mnu (lot number" (ravrrtuatberl 8 Name of Sexton or Person in Charge of Pren es (N• vniar Z ic>as e prrrr0 tU Signature title AI'S ittr- DO H-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#