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Muratorri, Peter Paul # 37$ NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Peter Paul Muratorri Male Date of Death Age If Veteran of U.S.Armed Forces, 04/06/2023 77 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Fort Edward Town Street Address 573 Lower Oak Street,Fort Edward Town, New York 12828 W Manner of Death Undetermined Pending �Natural Cause Accident Homicide Suicide W Circumstances Investigation W Medical Certifier Name Title Robert Lemieux Coroner Address 415 Lower Main Street,Hudson Falls Village, New York 12839 Death Certificate Filed Town Of Fort Edward District Number Register Number City,Town or Village 5755 39 Burial Date Cemetery,Crematory or Facility Name 04/11/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed and/or and/or Held N Hold Address 0 0- Date Point of (I)❑Transportation p by Common Shipment Carrier Destination Ei Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward, New York 12828 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above M Address CC uJ a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/10/2023 Registrar of Vital Statistics Aimee G Mahoney(E(ectronica((ySigned) (signature) District Number 5755 Place Town Of Fort Edward I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition 11 ,3�1I Z3 Place of Disposition �(i.{u� / (address) W CC (section) `7(lot number) (grave number) 0 Name of Sexton or Person in Charge Premises l t/`rL r (ple a print) W Signature _ Title rip°/) DOH-1555(07/18)p 1 of 2 4 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#