Huners, Gregory Henry (Le 3
NEW YORK STATE DEPARTMENT OF HEALTH 76Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Gregory Henry Huners Male
Date of Death Age If Veteran of U.S.Armed Forces,
09/24/2022 69 Years War or Dates
�.. Place of Death Hospital,Institution or
Z City,Town or Village Kingsbury Town Street Address 177 Townline Road, Kingsbury Town, New York 12828
W
'p Manner of Death El Natural Cause IllAccident Homicide OSuicide Undetermined Pending
V Circumstances Investigation
LU Medical Certifier Name Title
Aqeel Gillani MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed Town Of Kingsbury District Number Register Number
City,Town or Village 5762 18
Burial Date Cemetery,Crematory or Facility Name
09/26/2022 Pine View Crematorium
Entombment Address
ZCremation Queensbury Town,New York
DDonation
0 Removal Date Place Removed
and/or and/or Held
H Hold Address
to
0
a Date Point of
N❑Transportation
b by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
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 12839
Name of Funeral Firm Making Disposition or to Whom
1— Remains are Shipped,If Other than Above
Address
CC
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 09/26/2022 Registrar of Vital Statistics Cynthia cBardin(ECectronicafty Signed)
(signature)
District Number 5762 Place Town Of Kingsbury
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
;�
Z Date of Disposition yl Z7 17 Z Place of Disposition . „w;y or��
W
2 (address)
LU
N
Q (section) / (lot number) (grave number)
SName of Sexton or Person in Charge of Pre s r, 5, Ati t1
Z (pie e print) �^
W Signature / Title l � 2
DOH-1555(07/18)p t of 2
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# —