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McNamee, Robert .0 L Pt 3 3-1 NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Robert McNamee Male Date of Death Age If Veteran of U.S.Armed Forces, 04/12/2023 90 Years War or Dates 1953-1955 H Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address 44 Willowbrook Road 313,Queensbury Town,New York 12804 ILI p Manner of Death Ell Natural Cause Accident ❑Homicide Suicide Undetermined nPending VCircumstances II 'Investigation Ui Medical Certifier Name Title 0 Adrianna Earl Other Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 57 Burial Date Cemetery,Crematory or Facility Name 04/13/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town, New York Donation Z❑Removal Date Place Removed and/or and/or Held I— Hold Address N 0 a. Date Point of N Ill Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address E Reinterment 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 F.. Remains are Shipped,If Other than Above 5- Address IE W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/13/2023 Registrar of Vital Statistics CarolznexOgard Bar6er(ElectronicallySign4 (signature) District Number 5657 Place Town Of Queensbury I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WDate of Disposition q IN Ii Place of Disposition --ie.:,L 6--- 2 (address) ILI Cl) CC (section) (tot number/ ., (grave number) 4 0 Name of Sexton or Person in Charge of Pre ises L.... Itr- Z (please print/ W Signature Title COrM kill � DOH-1555(o7/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Huniah remains of delivered on , 20 Pine View Cemetery Representing the funeral home named,on burial permit Official Funeral Directors Reg. or License# ;