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Murdoch, Robert Lloyd I *. , ' lo3 Gil NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Robert Lloyd Murdoch Male Date of Death Age If Veteran of US.Armed Forces, 08/04/2023 85 Years War or Dates 1961-63 l.- Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc UpManner of Death Z Natural Cause ❑Accident ri Homicide ESuicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title O Diane Westbrook NP Address 131 Lawrence St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs ' District Number Register Number City,Town or Village 4501 440 ElBurial Date Cemetery,Crematory or Facility Name 08/05/2023 Pineview Crematory Entombment Address ©Cremation Queensbury Town,New York Donation O❑Removal Date Place Removed - and/or and/or Held F- Hold Address N O . O- Date Point of N OTransportation Shipment p by Common Carrier Destination EjDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom F Remains are Shipped,If Other than Above S Address Ir W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/04/2023 Registrar of Vital Statistics Dillon Moran(Electronically Signed) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z W Date of Disposition --e--�-ZDZ_3 Place of Disposition pj Ale, 04„J Cr-Grnt (-� 2 (address) W N CC (section) (lot number) (grave number) SName of Sexton or Person in Charge of Premises .--R117 b1 b Oa' Z (please print) W Signature i ��o Title 110-11"'"� DOH-1555(07/18)p 1 of 2 . , n � Y S� Public Health Law Sec. 4145(2b) Receipt Human remains of - delivered on , 20 Pine View Cemetery Representing the funeral home named on burl?l„Qermit Official Funeral Directors Reg.or License# -