Beaudet, Rene Joseph NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Rene Joseph Beaudet Male
Date of Death Age If Veteran of US.Armed Forces,
02/02/2023 73 Years War or Dates 1968-1972
Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
p Manner of Death El Natural Cause ❑Accident Homicide Suicide Undetermined Pending
Circumstances Investigation
W Medical Certifier Name Title
G Douglas Dennett MD
Address
101 Ridge Street,Glens Falls,New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 62
Burial Date Cemetery,Crematory or Facility Name
02/06/2023 Pine View Crematory
Entombment Address
IILICremation Queensbury Town,New York
Donation
(soRemoval Date Place Removed
and/or and/or Held
N Hold Address
O
O. Date Point of
W Transportation
p by Common Shipment
Carrier Destination
ODisinterment 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
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/05/2023 Registrar of Vital Statistics Megan NoCin(ECectronica1TySigned)
(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:
W Date of Disposition iig J 73 Place of Disposition �r.,V
2 (address)
W
(section) / (lot number) (grave number)
8 Name of Sexton or Person in Charge of Premises L-- ��"0l�
Z ( ease print)
W Signature Title
DOH-1555(07/18)p t of 2
.°1 Li 6 7 4
Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20
- View Cemetery Representing the funeral home named on burial permit
Funeral Directors Reg. or License#