Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Duncan, Robert V
t -)Z.) NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Robert V.Duncan Male Date of Death Age If Veteran of U.S.Armed Forces, 09/08/2023 80 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address The Pines At Glens Falls Center For Nursing&Rehabilitation W Manner of Death a Natural Cause Accident Homicide Suicide IllUndetermined ri Pending Circumstances Investigation Ui• Medical Certifier Name Title O Courtney Diamond NP Address 170 Warren St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 425 Burial Date Cemetery,Crematory or Facility Name 09/11/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation �0❑Removal Date Place Removed and/or and/or Held N Hold Address 0 d Date Point of L/) Transportation by Common Shipment Carrier Destination nDisinterment Date Cemetery Address Date Cemetery Address Reinterment Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom ▪ Remains are Shipped,If Other than Above Address x w a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/11/2023 Registrar of Vital Statistics Megan (iE/ctronicali:y Signer? (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: H J W Date of Disposition 9 112173 Place of Disposition 22 (address/ W CC (section) A (lost number) (grave number) O Name of Sexton or Person in C e of Premises 7A°� 6� t (ease print) W Signature Title IIIIII r,,fir' l."— DOH-1555(07/18)p t of 2 0 1.,7';') I b Public Health Law Sec. 4145(2b) —7 "1/4. 1 Receipt 1 - ' , r r \ ,' __ ",_'/ 11,4,,id Human remains of h ' -/--1" e ' elivered on / , 20 /7 1 c, , r ,•,,, Pine View Cemetery Representing,the funeral home named on burial permit Official Funeral Directors Reg.or License# , , - 1