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Hill, Stanley Meredith It 3d7 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Stanley Meredith Hill Male Date of Death Age If Veteran of U.S.Armed Forces, 04/21/2023 82 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Queensbury Town Street Address 113 Farr Lane,Queensbury Town, New York 12904 'p Manner of Death ❑X Natural Cause IllAccident Homicide Suicide Undetermined ElPending Circumstances Investigation W Medical Certifier Name Title O Aimee Mcmaster NP Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 65 Burial Date Cemetery,Crematory or Facility Name 04/24/2023 Pine View Crematory Entombment Address ©Cremation Queensbury,New York Donation OZ Removal Date Place Removed p and/or and/or Held N Hold Address O CL Date Point of t/1 ElTransportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address 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 Remains are Shipped,If Other than Above • Address CC W CL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/24/2023 Registrar of Vital Statistics CaroCine/fifdegarde Barber(Electronically Signed) (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: Z Date of Disposition 9 121173 Place of Disposition 2 (address) W CC (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Premises l�� ►�' �^^'�� lease print) W Signature Title Cwnlelli,z DOH-1555(07/18)p 1 of 2 1 Public Health Law Sec. 4145(2b) Receipt 1 Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#