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Dessaint, Lawrence James . . 41.s?t? NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Lawrence James Dessaint Male Date of Death Age If Veteran of U.S.Armed Forces, 07/13/2023 75 Years War or Dates 1968-1969 F Place of Death Hospital,Institution or tL City,Town or Village Albany Street Address St Peters Hospital p Manner of Death EI Natural Cause nAccident Homicide Suicide ❑Undetermined ]Pending uJ t I C.) Circumstances Investigation pW Medical Certifier Name Title Chrystal Price DO Address 315 S Manning Blvd,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1618 BurialR Date Cemetery,Crematory or Facility Name 07/14/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed H and/or and/or Held N Hold Address 0 O. Date Point of f!)❑Transportation if)" Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom F- Remains are Shipped,If Other than Above .g Address CC Lii a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/14/2023 Registrar of Vital Statistics Danie&Scillepie(ElectronicaISiwnerl9 (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: IF- W Date of Disposition 1L j 2Oz- Place of Disposition 0 ,J-e (.e.,.) e A 2 (address) W N CC (section) (lot number (grave number) O Name of Sexton or Person in Charge f Premi _ �� t'/s1o/4-71D L.(1h 'LI Z (please print) Signature Title O r.e374-0 o c DOH-1555(o7/18)p id 2 4 . ..-..., 1 Public Health Law Sec. 4145(2b) 1 1 Receipt , 1 1 1 Human remains of . - delivered on , 20 ' — )4:;‘ /,;` 1 _. Pine iiew Cemetery Representing the funeral home named on,burialipermit Official Funeral Directors Reg.or License#