Loading...
McTague, Andrew S 4T NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Andrew S.McTague Male Date of Death Age If Veteran of U.S.Armed Forces, 10/19/2023 44 Years War or Dates 1997-2002 F. Place of Death Hospital,Institution or Z City,Town or Village Warrensburg Town Street Address State Route 418,Warrensburg Town, New York 12885 W Manner of Death Undetermined Pending W Natural Cause Accident Homicide Suicide Circumstances Investigation W Medical Certifier Name Title CI Connie Goedert Coroner Address 1400 St Route 9, Lake George Town,New York 12845 Death Certificate Filed Town Of Warrensburg District Number Register Number City,Town or Village 5660 14 Burial Date Cemetery,Crematory or Facility Name 10/25/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed and/or and/or Held Hold Address 0 O. Date Point of (/) Transportation 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 1— Remains are Shipped,If Other than Above 2 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/24/2023 Registrar of Vital Statistics Pamela M Lloyd(Electronically Signed) (signature) District Number 5660 Place Town Of Warrensburg I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition IC Jj 1Z3 Place of Disposition 'r Ear,c ..) f P.,,nit%TeR 44s, (address) W (section) (iot number/ (grave number) g _ SM Name of Sexton or Person in Charge of Premises 1M Z )) (pi se print) W Signature C Title l�if "(i DOH-1555(07/18)p 1 of 2 ' r-j 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#