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Cartier, Duane Brian I i NEW YORK STATE DEPARTMENT OF HEALTH F). _ -�• Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Duane Brian Cartier Male Date of Death Age If Veteran of U.S.Armed Forces, 08/31/2023 73 Years War or Dates 1970-1972 h Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pManner of Death Natural Cause Accident El Homicide ESuicide Undetermined riPending U Circumstances Investigation 0ILI Medical Certifier Name Title David Foote MD Address 340A Main Street,Hudson Falls Village,New York 12839 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 416 Burial Date Cemetery,Crematory or Facility Name 09/05/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed — and/or and/or Held II— N Hold Address 0 a Date Point of f/)❑Transportation p by Common Shipment Carrier Destination oDisinterment 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 F- Remains are Shipped,If Other than Above g Address Cr W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/05/2023 Registrar of Vital Statistics Megan Wolin(ECectronica(Cy Signed) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition q ill Z Y Place of Disposition `�_`�_ 6--.__ 2b (address) W U) CC (section) (lot number) (grave number) SName of Sexton or Person in Charge of es /4 ri IR Z (lse print/ W Signature g Title .__ 1111 l L DOH-1555(07/18)p 1 of 2 1 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on 20 Pine View Cemetery Representing the funeral home named on buriaLpermit Official Funeral Directors Reg. or License#