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Alger, Harry M
pr ILF NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Harry M.Alger Male Date of Death Age If Veteran of U.S.Armed Forces, 11/29/2023 82 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Thurman Town Street Address 389 Bowen Hill Road,Thurman Town, New York 12885 p Manner of Death El Natural Cause Accident Homicide Suicide Undetermined Pending IL Circumstances Investigation W Medical Certifier Name Title Robert Southerland MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Thurman District Number Register Number City,Town or Village 5659 7 Burial Date Cemetery,Crematory or Facility Name 11/30/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held - Hold Address 0 a Date Point of N Transportation La 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 H Remains are Shipped,If Other than Above a Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/30/2023 Registrar of Vital Statistics Cynthia X:.7fyie(ECectronica1Ty Signed) (signature) District Number 5659 Place Town Of Thurman I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition J2- -702'3 Place of Disposition ,Ue J,e 2 (addressLj W CC CC (section) (tot um er/ (grave number) SName of Sexton or Person in Charge of Premises 1/a��Ory If) L✓0 Z / (please print/ W Signature 6G 1 Title e-Pl G(.` DOH-1555(07/18)pi of 2 • 4 r� :r .7 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#