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Navarette, David Paul
r hi ( NEW YORKSTATE DEPARTMENT OF HEALTH �`� Burial - Transit Permi Bureau of Vital Records Name First Middle Last Sex David Paul Navarette Male Date of Death Age If Veteran of U.S.Armed Forces, 08/06/2023 66 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address 43 Stephanie Lane,Queensbury Town, New York 12804 11.1 p Manner of Death El Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title Colleen Murray NP Address 43 New Scotland Avenue MC7,Albany,New York 12203 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 124 Burial Date Cemetery,Crematory or Facility Name 08/09/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation ❑Removal Date Place Removed and/or and/or Held F— Hold Address N O 0. Date Point of N DTransportation Shipment by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom l— Remains are Shipped,If Other than Above 2 Address CC W a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/09/2023 Registrar of Vital Statistics Caroline Wi(fegarde Barber(ECectronicallySigned) (signature) District Number 5657 Place Town Of Queensbury I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: n � Date of Disposition 91Il ( 73 Place of DispositionUJ 2 (address) W N (section) to (lot Dumber) (grave number) S Name of f Sexton or Person in Charge mises Z (pease print) W Signature Title lei` A{ l' DOH-1555(o7/18)p 1 of 2 `rb 1 7 1 Li Public Health Law Sec. 4145(2b) Receipt Human remains of DAv.D delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#