Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Grey, David James
NEW YORK STATE DEPARTMENT OF HEALTH • Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex David James Grey Male Date of Death Age If Veteran of U.S.Armed Forces, 09/13/2023 65 Years War or Dates 1977-1981 Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital `p Manner of Death ❑^ Natural Cause Accident ❑Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title 0 Peter Pevzner Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 2157 Burial Date Cemetery,Crematory or Facility Name 09/15/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held N Hold Address 0 O. Date Point of Cl)oTransportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg, New York 12885 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 2 Address Cr W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/15/2023 Registrar of Vital Statistics cDaniel(e S Gi((espie(ECectronicafly 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: W Date of Disposition'—/4-2r Z3 Place of Disposition p:3( ii,te14)' C'' et kit(address) W N CC (section (lo number) (grave number) ff gName of Sexton or Person in Charge o Premise Z (please print) W Signature Title 6,(�T�� DOH-1555(07/18)p 1 of 2 • Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#