Abare, Frederick L NEW YORK STATE DEPARTMENT OF HEALTH LFBurial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Frederick L.Abare Male
Date of Death Age If Veteran of U.S.Armed Forces,
11/23/2023 83 Years War or Dates
H Place of Death Hospital,Institution or
Z City,Town or Village Fort Edward Town Street Address Fort Hudson Nursing Center Inc
'p Manner of Death CI Natural Cause Accident Homicide Suicide Undetermined Pending
Circumstances Investigation
W Medical Certifier Name Title
0 Came Miron PA
Address
319 Broadway,Fort Edward Town,New York 12828
Death Certificate Filed Town Of Fort Edward District Number Register Number
City,Town or Village 5755 96
s
Burial Date Cemetery,Crematory or Facility Name
11/27/2023 Pine View Crematory
Entombment
— Address
Cremation Queensbury Town,New York
.'_I:Donation
Removal Date Place Removed
and/or and/or Held
Hold Address
Transportation Date Point of
by Common Shipment
,2 Carrier Destination
❑Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
1
Permit Issued to Registration Number
Name of Funeral Home Regan&Denny Funeral Service 01444
j''I Address
94 Saratoga Ave,S Glens Falls,New York 12803
,; Name of Funeral Firm Making Disposition or to Whom
ilRemains are Shipped,If Other than Above
2 Address
IC
Ui
'. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/27/2023 Registrar of Vital Statistics Aimee G Mahoney(E(ectronica1Ty Signed)
(signature)
District Number 5755 Place Town Of Fort Edward
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
W Date of Disposition /�z;�'Z.�7Z3 Place of Disposition ?�t�.)L V btu��
2 (address)
ILL
CC CC (section) (lot num / (grave number)
gName of Sexton or Person in Chre o P ises I`iVin ets; L.)
Z (please print)
W Signaturecry-mil Title Pl(��'Z11
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#