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Doody, William M LF NEW YORK STATE DEPARTMENT OF HEALTH / Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex William M Doody Male Date of Death Age If Veteran of U.S.Armed Forces, 10/23/2023 74 Years War or Dates 1968-71 p.. Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc p Manner of Death M Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title G Rick Teetz MD Address 131 Lawrence St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 614 Burial Date Cemetery,Crematory or Facility Name 10/25/2023 Pineview Crematory Entombment Address ©Cremation Queensbury Town,New York Donation O❑Removal Date Place Removed and/or and/or Held to Hold Address tJl❑Transportation Date Point of Es Common Shipment Carrier Destination EiDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom F . Remains are Shipped,If Other than Above a Address Cle 0. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/24/2023 Registrar of Vital Statistics Dillon Moran(Electronically Signed) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: CH Z▪ Date of Disposition J0)?S I'D Place of Disposition ' T� ✓t:�F,J CPOIVID 2 (address) W CC N (section) (lot number) (grave number) g Name of Sexton or Person in Cha f ises dr. rblease print/ Z f W Signature Title �i 1� DOH-1555(07/18)p Id 2 J17 07 Public Health Law Sec. 4145(2b) Receipt 4 , Human remains of ' delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#