Candee, Bradford E (LF). t# S fp
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Bradford E Candee Male
Date of Death Age If Veteran of U.S.Armed Forces,
07/09/2022 71 Years War or Dates 1970-74
H Place of Death Hospital,Institution or
WCity,Town or Village Glens Falls Street Address Glens Falls Hospital
tp Manner of Death �Natural Cause Accident 0 Homicide [] []
Suicide Undetermined Pending
'Circumstances Investigation
WMedical Certifier Name Title
CI Michael Fuller MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 358
RBurial Date Cemetery,Crematory or Facility Name
07/12/2022 Pineview Crematory
Entombment Address
Cremation Queensbury Town,New York
Donation
ZO❑Removal Date Place Removed
and/or and/or Held
H Hold Address
N
0
0- Date Point of
U)['Transportation
p by Common Shipment
Carrier Destination
oDisinterment Date Cemetery Address
ElReinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Densmore Funeral Home Inc 00448
Address
7 Sherman Ave,Corinth,New York 12822
Name of Funeral Firm Making Disposition or to Whom
f— Remains are Shipped,If Other than Above
2 Address
C
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/11/2022 Registrar of Vital Statistics Megan Nolin(Electronically Signed)
(signature/
District Number 5601 Place City Of Glens Falls
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z Date of Disposition ,I I'Z 121. Place of Disposition LAIL.— 27i1P."""
2 (address)
W
CCCC (section) ; (lot[],umber) (grave number)
gName of Sexton or Person in Charge o mises 1 M 1- Ott
z (plea print) /"'
Ili ` Title ` z im tiree
Signature _
DOH-1555(07/18)p 1 of 2
,r1 ,) .4, 6
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#