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Irish, Ryan M Spa NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ryan M Irish Male Date of Death Age If Veteran of U.S.Armed Forces, 06/14/2023 39 Years War or Dates ZPlace of Death Hospital,Institution or City,Town or Village Albany Street Address Albany Medical Center Hospital Manner of Death Natural Cause Accident El Homicide ESuicide Undetermined Pending (Wj Circumstances Investigation lu 0 Medical Certifier Name Title John Keegan Coroner Address 112 State Street,Albany,New York 12207 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1432 Burial Date Cemetery,Crematory or Facility Name 06/22/2023 Pine View Crematory Entombment Address ©Cremation Queensbury,New York Donation 0❑Removal Date Place Removed and/or and/or Held N Hold Address 0 a Date Point of (/)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 E•. 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 06/21/2023 Registrar of Vital Statistics Dame(leS Gillespie(ECectronicalTySigned) (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: H W Date of Disposition ,rj-Z�j1-Z,�j,Z3 Place of Disposition '7'�� v;�� L�- 1 _h 2 (addresst uJ Q (section) (/ numbe) (grave number) Name of Sexton or Person in Charge of remis er& Z (please print) W Signature g �!-L! 1 Title ��O.oT.##� DOH-1555(07/18)p 1 of 2 11 s . Y 117f;1q 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#