Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Delevett, Bowen C
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Bowen C.Delevett Male Date of Death Age If Veteran of U.S.Armed Forces, 02/16/2024 76 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Schroon Town Street Address 99 Bigsby Road,Schroon Town,New York 12857 LU p Manner of Death Z Natural Cause Accident Homicide ESuicide ❑Undetermined El Pending W C) Circumstances ilInvestigation G Medical Certifier Name Title Curtis Gedney MD Address 454 Glen Street,Glens Falls,New York 12801 Death Certificate Filed Town Of Schroon District Number Register Number City,Town or Village 1563 4 Burial Date Cemetery,Crematory or Facility Name 02/17/2024 Pine View Crematorium Entombment _ Address ©Cremation Queensbury Town,New York Donation ZO❑Removal Date Place Removed and/or and/or Held ~ Hold Address N 0 a Date Point of (/)❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 5 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/16/2024 Registrar of Vital Statistics Patricia Savarie(ECectronwaCTySigned) (signature) District Number 1563 Place Town Of Schroon I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— Z Date of Disposition Z170i7y Place of Disposition .F=, v=F..) (1?4 MAT%% Xt .-- W 2 (address) W U) CC (section) (lot number) Sw, (grave number) 0 Name of Sexton or Person in Charge of Premi s /}r•. ti Z (pi se print) W Signature . ' Title ll° �/n•Q((�11? g DOH-1555(07/18)p 1 of 2 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#