Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Spear, Ernest Joseph
# NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records C.—) Burial Transit Permit Name First Middle Last Sex Ernest Joseph Spear Male Date of Death Age If Veteran of U.S.Armed Forces, 08/06/2023 86 Years War or Dates ` H Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc W Manner of Death Undetermined Pending W izi Natural Cause Accident Homitide Suicide U Circumstances Investigation W Medical Certifier Name Title O Rick Teetz MD 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 444 Burial Date Cemetery,Crematory or Facility Name 08/08/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation ZO❑Removal Date Place Removed and/or and/or Held ~ Hold Address CO 0 d Date Point of Cl)ETransportation Shipment p by Common Carrier Destination Date Cemetery Address nDisinterment Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward,New York 12828 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above ,5 Address CC W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/07/2023 Registrar of Vital Statistics lc7iffon Moran(ECectronica1Cy 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: IF- WDate of Disposition 4g Alt`73 Place of Disposition '. g/. 6— -_ 2 (address) W NCC (section) (lot number) (grave number) 0 Name of Sexton or Person in Charge of Premises �b' �^ Z.41-t (pl se print) W ai Titl (0 �lvA Signature e DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#