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DiFede, Mario J i tt 33c NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Mario J DiFede Male Date of Death Age If Veteran of U.S.Armed Forces, 04/10/2023 83 Years War or Dates 1962-1964 Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pManner of Death Ej Natural Cause Accident El Homicide Suicide FlUndetermined riPending W Circumstances Investigation WMedical Certifier Name Title CI Melody Long PA Address 100 Park Street,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 188 HBurial Date Cemetery,Crematory or Facility Name 04/12/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0 0 Removal Date Place Removed and/or and/or Held Hold Address co LElTransportation Date Point of a by Common Shipment Carrier Destination O Disinterment Date Cemetery Address Date Cemetery Address ElReinterment Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom 1.. Remains are Shipped,If Other than Above 2 Address IL w a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/12/2023 Registrar of Vital Statistics Megan.Nofin(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: ▪ Date of Disposition L111310 Place of Disposition T -i (.,(address/ A2 ` W N Cr (section/ (tot number/ (grave number) Q Name of Sexton or Person in Charge of Premises L iR p (please print) W Signature — Title fre 'Free DOH-1555(07/18)p 1 of 2 ry0 A 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#