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Engle, Stephen L
(1 0 CYCI1 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Stephen L.Engle Male Date of Death Age If Veteran of U.S.Armed Forces, 11/25/2023 74 Years War or Dates N Place of Death Hospital,Institution or Z City,Town or Village Warrensburg Town Street Address 6 Gold Avenue,Warrensburg Town, New York 12885 p Manner of Death Z Natural Cause Accident Ei Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title a Lynn Keil PA Address 9 Carey Road,Queensbury Town, New York 12804 Death Certificate Filed Town Of Warrensburg District Number Register Number City,Town or Village 5660 18 Burial Date Cemetery,Crematory or Facility Name 11/27/2023 Pine View Crematory _Entombment Address ,©Cremation Queensbury Town,New York Donation 0 Removal Date Place Removed and/or and/or Held ' -- Hold Address �.t N s:�1 0 a Date Point of U) Transportation p by Common Shipment __ r Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address ❑Reinterment 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 Address CC W CL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/27/2023 Registrar of Vital Statistics Pamela M L(oyrf(E(ectronicalty 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: H ` //Date of Disposition Z9 ZL1Z7 Place of Disposition �,-Je 1/,`e J Ci-ijviet- -� (address) W a (section/_ (lot nu berg (grave number) O Name of Sexton or Person in Charge of rem' es ' &R)I14/Gri I t) X ' Z j (please print) W � Signatures /r. Title p�Psci-6, - � DOH-1555(07/18)p 1 of 2 // U C,jt-* 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#