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Deihl, Noel B i=1 74g NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Noel B Deihl Male Date of Death Age If Veteran of U.S.Armed Forces, 09/24/2023 91 Years War or Dates Army Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital 111 ,p Manner of Death EI Natural Cause illAccident Homicide OSuicide Undetermined ri Pending O Circumstances Investigation W Medical Certifier Name Title O Mathew Varughese DO Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 442 Burial Date Cemetery,Crematory or Facility Name 09/27/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York EiDonation Z❑Removal Date Place Removed a and/or and/or Held Hold Address O d Date Point of N❑Transportation Shipment a by Common Carrier Destination O Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan&Denny Funeral Service 01444 Address 94 Saratoga Ave,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above a Address W 0. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/26/2023 Registrar of Vital Statistics Megan Wolin(ECectronica(Ty 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: Z Date of Disposition 9 I it,I13 Place of Disposition ,E,r � l�E/ At LUJ �J'� 2 (address) W to (section) /f �(lot number) (grave number) tr 0 Name of Sexton or Person in Charge of Premises 6 �'t Le" s„�+ Z (pease print) W (' E Signature Title fiecirviro+� DOH-1555(07/18)p 1 of 2 ,i 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# Town of Queensbury Certification of Cremation �IOWv1 Pine View Cemetery and Crematory This certifies that the remains of: Noel B Deihl were cremated on September 28 20 23 at the Pine View (Month) (Day) Crematorium, Queensbury,New York, and these are the cremated remains of said body. Date of Death September 24 20 23 Age 91 (Month) (Day) Funeral Home Regan Denny Funeral Home Registered No. 768 L.,:" . "-' (Authorized Signature) Deihl NAME Noel Deihl Age:91 Lot Owner: Noel Deihl & Lisa Gundrum Lot# Horicon 22 G Grave# 2 Case: urn Died: 9.2 4.2 3 Interred: 1 0.28.23 Funeral Home: Regan Denny Stafford Cemetery: Pine View DEIHL/ Gundrum Owner Noel Deihl & Lisa Gundrum Address Plot 10 Smith Street, Glens Falls NY 12801 Horicon Phone # Lot # 518-792-5374 22-G Deed # Date 4137 7/29/2019 Cost Foundation Y - N 750 Location Bounded to the West by Vacant, North by Vacant East by Path, South by Vacant Remarks Record of Interments 1 6 Mary Deihl 8/3/2019 (F/S) 2 G a t-1 a 7 - Ili aS 3 8 4 9 5 10 Vic A V \il 121 A X A S N �P�T N