Pinto, Ronald Joseph NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records rit....f)
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Name First Middle Last Sex
Ronald Joseph Pinto Male
Date of Death Age If Veteran of U.S.Armed Forces,
11/15/2022 72 Years War or Dates
.- Place of Death Hospital,Institution or
W City,Town or Village Glens Falls Street Address 90 Hunter Street,Glens Falls,New York 12801
p Manner of Death ❑X Natural Cause Accident ❑Homicide ESuicide ❑Undetermined riPending
Circumstances Investigation
W Medical Certifier Name Title
O Robert Reeves MD
Address
3 Irongate Center,Glens Falls,New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 575
K Burial Date Cemetery,Crematory or Facility Name
11/18/2022 Pine View Cemetery
--- Entombment Address
Cremation Queensbury Town,New York
[11Donation
0❑Removal Date Place Removed
and/or and/or Held
N Hold Address
0
G. Date Point of
CO OTransportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Maynard D Baker Funeral Home 01130
Address
11 Lafayette St,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
1— Remains are Shipped,If Other than Above
2 Address
cr
_.— I
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/16/2022 Registrar of Vital Statistics 541egan.9lrolsn gYect anica4 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: ` ��r.�,
W Date of Disposition `1- `Qj.,4.-) Place of Disposition 5\ L�i C1 Sk. 1, 1 ._xc- yl ide"l
()CIA
Address) cJ
N LIrla i J#-10 4.2
Q (ski 1, (lot number)� (grave number)
8 Name of Sexton or Person in Charge of Pre ' es ,e-mc,t,i ��e=�'---i,�
Z 44.44.4
/Pleaseprint/WSignaturele 4 Title �J.L� N,n' 1- L
DOH-1555(o7/18)p id 2
Public Health Law Sec. 4145(2b)
012953
Receipt
Human remains of delivered on ' , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#
PINTO
NAME
Ronald Joseph Pinto Age: 72 ` 1
Lot Owner: Linda & Michael Pinto
Lot# Cayuga #1 A 5&6 Grave#
Case: Concrete
Died: 1 1 .1 5.2 2 Interred: 1 1 .1 8.2 2
Funeral Home: Baker FH
Cemetery: Pine View