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Finnigan Jr., Thomas Francis L(......t 41 (.13 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Thomas Francis Finnigan Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 05/16/2023 65 Years War or Dates F.. Place of Death Hospital,Institution or WCity,Town or Village Queensbury Town Street Address 7 Boss Road,Queensbury Town,New York 12804 p Manner of Death ❑X Natural Cause Accident ❑Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title 0 Sue Badera NP Address 41 Grand Street,Glens Falls,New York 12801 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 78 Burial Date Cemetery,Crematory or Facility Name 05/22/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held i Hold Address N 0 O. Date Point of U)ETransportation Shipment Q by Common Carrier Destination Date Cemetery Address Disinterment Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom I— Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/22/2023 Registrar of Vital Statistics Caroline 7fi&degarde 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: Date of Disposition sbA{.(1) Place of Disposition RA-- /14.—, RI (address) W Cl)CIC (section) j....4L._(lot number) (grave number) 8 Name of Sexton or Person in Charge of Premises S tf di ease print) w Signature Title C �a�2 DOH-1555(07/18)p 1 of 2 I 1 Public Health Law Sec. 4145(2b) I 1 Receipt 1 1 Human remains of delivered on , 20 f i '� Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#