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Meelan, Edward A
NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Edward A.Meelan Male Date of Death Age If Veteran of U.S.Armed Forces, 07/18/2023 75 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death El Natural Cause ❑Accident Ell Homicide Suicide Undetermined riPending W 0 Circumstances Investigation aIn Medical Certifier Name Title Bo Li MD Address 100 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number r City,Town or Village 5601 348 Burial Date Cemetery,Crematory or Facility Name 07/21/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury,New York Donation 0❑Removal Date Place Removed f= and/or and/or Held N Hold Address 0 4 Date Point of M Transportation a by Common Shipment Carrier Destination 11 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 F- 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 07/20/2023 Registrar of Vital Statistics Megan Nolin(Electronically Signed) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition -2-2z-2„Z3 Place of Disposition Pt;JP (/i et...) Cr �� N 2 /address W (section) ,J� (lot number) (grave number) gName of Sexton or Person in Charge of P mises I"k.//4J©.+t (...4Jcl z (please print) W Signature 7 1 / Title or fesedty4-- DOH-1555(07/18)pi of 2 d 6 9 • ' Public Health Law Sec. 4145(2b) Receipt t _ Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#