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Bidwell, Bruce B NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Bruce B Bidwell Male Date of Death Age If Veteran of U.S.Armed Forces, 02/11/2024 52 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Cobleskill Village Street Address Grove Street,Cobleskill Village, New York 12043 p Manner of Death Natural Cause Accident El Homicide IllSuicide Undetermined El Pending Circumstances Investigation W Medical Certifier Name Title CI Nadarajah Balasubramaniam ME Address 1101 Nott Street,Schenectady,New York 12308 Death Certificate Filed Village Of Cobleskill District Number Register Number City,Town or Village 4720 6 Burial Date Cemetery,Crematory or Facility Name 02/14/2024 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held pN Hold Address 0 0 Date Point of Cl)❑Transportation by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom IH Remains are Shipped,If Other than Above g Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/13/2024 Registrar of Vital Statistics Cynthia G.Miffer(ECectronicaffy Signed) (signature) District Number 4720 Place Village Of Cobleskill I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z W Date of Disposition Z 1)5121 Place of Disposition Cie t.to4 Mil 2 (address) W U3 CC (section) (lot number) (grave number) Name of Sexton or Person in Charge ises G' - rt (plea print) MtIVZ Signature Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) S ' Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#