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Byrnes, Edward C �t.:F. : # ,7tf NEW YORK STATE DEPARTMENT OF HEALTH Burial- Transit Permit Bureau of Vital Records Name First Middle Last Sex Edward C Byrnes Male Date of Death Age If Veteran of U.S.Armed Forces, 08/22/2023 64 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital G Manner of Death IZI Natural Cause ❑Accident Homicide ESuicide FlUndetermined El Pending W Circumstances Investigation W Medical Certifier Name Title Vincent Cousineau Cote MD Address 211 Church St,Saratoga Springs,New York 12866 DeaHth Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 484 Burial Date Cemetery,Crematory or Facility Name 08/24/2023 Pineview Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed - and/or and/or Held t-- Hold Address N O. Date Point of U)❑Transportation Shipment 5 by Common Carrier Destination Disinterment Date Cemetery Address ElReinterment 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 E- Remains are Shipped,If Other than Above 2 Address it W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/23/2023 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: H W Date of Disposition giZ�Z3 Place of Disposition h '� ��-��""CC"""�� (ed i ssi W (section) //�tnumber) ft- (grave number/ Name of Sexton or Person in Charge of P 4',,I.es ( l.__ '"^ z /pleaint/ W Signature Title te6 1.4401 DOH-1555(07/18)p 1 of 2 a 1 -7 . Public Health Law Sec. 4145(2b) Receipt • Human remains of -Ylelivered on , 20 Pine Via'Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#