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Gonyea, Donald Dennis roV ge . „I , 1.5 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Male Donald Dennis Gonyea Date of Death Age If Veteran of U.S.Armed Forces, 08/22/2023 78 Years War or Dates 1962-1965 Place of Death Hospital,Institution or �Z City,Town or Village Albany Street Address Albany Medical Center Hospital p• Manner of Death M Natural Cause Accident Homicide []Suicide Undetermined Pending Circumstances Investigation WMedical Certifier Name Title d Christine Bieber MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1966 RBurial Date Cemetery,Crematory or Facility Name 08/24/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York EiDonation ZO❑Removal Date Place Removed - and/or and/or Held (—- Hold Address N 0 Date Point of N Transportation Shipment [p by Common Carrier Destination Date Cemetery Address Disinterment El Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 5 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/23/2023 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed) (signature) District Number 0101 Place City Of Albany I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I Z tO tL Date of Disposition �29—Z073 Place of Disposition � �J� ���� L'P ��. (` 2 (address) W CCCC (section) (lot n tuber) (grave number) 0 Name of Sexton or Person in Charg of Pr m. s --eA41 0sr°J 00c1 Z (please print) W Signature // Title Q12€14♦✓ °DO H-1555(07/t8)p 1 of 2 1 Public Health Law Sec. 4145(2b) Y Receipt • Human remains of delivered on , 20 3£. j I Pine View Cemetery Representing the funeral home named on buui 1TemIt Official Funeral Directors Reg.or License# :' f "