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McNeil, David Phillip 411 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex David Phillip McNeill Male Date of Death Age If Veteran of U.S.Armed Forces, 02/05/2024 82 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Lake George Town Street Address 2284 Harrington Hill Road,Lake George Town,New York 12845 O Manner of Death ❑X Natural Cause Accident Homicide Ei Suicide Undetermined Pending ILJCircumstances Investigation W Medical Certifier Name Title 0 Kasuni Kotelawala MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Lake George District Number Register Number City,Town or Village 5651 3 Burial Date Cemetery,Crematory or Facility Name 02/08/2024 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held N Hold Address O a Date Point of Cl)ElTransportation p by Common Shipment Carrier Destination EI 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 1— Remains are Shipped,If Other than Above Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/07/2024 Registrar of Vital Statistics Patricia c,9Kc1(inney-Schuster(ECectronica(Cy Signed) (signature) District Number 5651 Place Town Of Lake George I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition Zj 1 IV 1 Place of Disposition r�ILv�T�J !r" A11A V� 2 (address) W CC N (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Pre ises t�+ \ if Z ( ease print) W Signature Title iff IMF'2 DOH-1555(07h8)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of _ delivered on , 20 r Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#