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Watson, Arthur John Jr.
41 yip NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Arthur John Watson Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 11/13/2023 53 Years War or Dates F.. Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital pManner of Death I::Natural Cause Accident Homicide ID Suicide nUndetermined El Pending W Circumstances Investigation W Medical Certifier Name Title 0 Sara Till Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 2729 Burial Date Cemetery,Crematory or Facility Name 11/17/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation Removal Date Place Removed and/or and/or Held F Hold Address 0 O. Date Point of WE—Transportation Q by Common Shipment Carrier Destination ODisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom i.. Remains are Shipped,If Other than Above 2 Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/17/2023 Registrar of Vital Statistics ?Gerry BarthoComew(E(ectronica(Cy Signed) (signature) District Number 0101 Place City Of Albany I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: 2 j _ o� W Date of Disposition �'�/�'j�23 Place of Disposition � �C Crrii•,kt1 _ 2 (add W (section) (lot number (grave number) Q � 1 gName of Sexton or Person in Charge of mis I`<t y M©•-✓r' L✓D 0 Z (p/ease print) W Signature (4A.G Title Oef DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) - 6 Receipt Human remains of : delivered on 20 Pine View Cemetery Representing the funeral home named Qn burial permit. Official Funeral Directors Reg. or License# /