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Abare, Joseph Michael Lny NEW YORK STATE DEPARTMENT OF HEALTH _ tr5- a Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph Michael Abare Male Date of Death Age If Veteran of U.S.Armed Forces, 06/02/2023 66 Years War or Dates ZPlace of Death Hospital,Institution or City,Town or Village Ticonderoga Town Street Address 71 Race Track Road,Ticonderoga Town,New York 12883 Q Manner of Death �Natural Cause Accident Homicide Suicide nUndetermined ©Pending U W ' 11Circumstances Investigation �W Medical Certifier Name Title Kettle Valentine Coroner Address PO Box 132,Elizabethtown Town,New York 12932 Death Certificate Filed Town Of Ticonderoga District Number Register Number City,Town or Village 1564 35 Burial Date Cemetery,Crematory or Facility Name 06/07/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation ❑Removal Date Place Removed H and/or and/or Held N Hold Address 0 d Date Point of U)❑Transportation by Common Shipment Carrier Destination Date Cemetery Address ElDisinterment Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Wilcox&Regan 01821 Address 11 Algonkin St,Ticonderoga,New York 12883 Name of Funeral Firm Making Disposition or to Whom F— Remains are Shipped,If Other than Above 2 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/06/2023 Registrar of Vital Statistics Tonya 9bf Thompson(Electronically Signed) (signature) District Number 1564 Place Town Of Ticonderoga I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition (p(71 •13 Place of Disposition 1 2 (address% W N (section) 74 (lot number) (grave number) 8 Name of Sexton or Person in Charge of Premisest� Z /ease pr/nt W Signature g Z(), 42Title DOH-1555(07/18)p t of 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# # I