Loading...
Fey, Stephen E NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Stephen E.Fey Male Date of Death Age If Veteran of U.S.Armed Forces, 08/21/2023 73 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address 191 Corinth Road,Queensbury Town, New York 12804 W 'p Manner of Death ❑X Natural Cause IllAccident n Homicide lilSuicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title Timothy Murphy Coroner Address 52 Haviland Avenue,Glens Falls,New York 12801 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 132 Burial Date Cemetery,Crematory or Facility Name 08/26/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation to❑Removal Date Place Removed and/or and/or Held N Hold Address 0 d Date Point of U) Transportation p by Common Shipment Carrier Destination o Disinterment Date Cemetery Address ElReinterment 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 I— Remains are Shipped,If Other than Above -g Address CC W a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/25/2023 Registrar of Vital Statistics Carolinex/gari Bar6er(Electronica(Sign4 (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: I- '/ W Date of Disposition A2�?tvz3 Place of Disposition /;A)e v,e“J Creprt .-4 t-- 2 (address) W CC N (section) (lot number) (grave number) elName of Sexton or Person in Charge of remises 1C (�Y ')Q•J� ',hoc z -_ 1 f (please print) W Signature 1C � Title area—�t."t'�T— DOH-1555(o7/18)p t of 2 `� 017734 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 sI! yam;. Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#