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Abare, Glenn Allen - 141 .,„_ Ltqs- NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Glenn Allen Abare Male Date of Death Age If Veteran of U.S.Armed Forces, 05/23/2023 62 Years War or Dates 1_, Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital p Manner of Death ❑X Natural Cause Accident ❑Homicide Suicide FlUndetermined El Pending W Circumstances Investigation WMedical Certifier Name Title CI Luke Duncan MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1244 Burial Date Cemetery,Crematory or Facility Name 05/25/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury,New York DDonation O+IJ Removal Date Place Removed F and/or and/or Held •CA Hold Address 0 Date Point of (/)ElTransportation Shipment 5 by Common Carrier Destination Date Cemetery Address Disinterment 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 Q W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/24/2023 Registrar of Vital Statistics DanielT S Gillespie(ECectronicafy Signed) (signature) District Number 0101 Place City Of Albany I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: ZW Date of Disposition S 27--2GZ?i Place of Disposition P r/e Vt! e 1,4) (i'. 1 a.-1-a N 2 (address) W Ce (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Premises 1��Yn 0'`ib WGf9 Q (please print/ W !/ Signature ?(/V tit' Pt/k Title 00-0r0, -- 4, - DOH-1555(07/18)p 1 of 2 . . 059 2 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# �— r