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Bisbee, Robert C.
. , 4/.. 0 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Robert C.Bisbee Male Date of Death Age If Veteran of U.S.Armed Forces, 02/15/2024 91 Years War or Dates F Place of Death Hospital,Institution or Z City,Town or Village Schenectady Street Address Ellis Hospital p Manner of Death El Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title G Mai Naito NP Address 1101 Nott St,Schenectady,New York 12308 Death Certificate Filed City Of Schenectady District Number Register Number City,Town or Village 4601 133 Burial Date Cemetery,Crematory or Facility Name e 02/17/2024 Pine View Crematorium Entombment _ Address ©Cremation Queensbury Town,New York Donation Removal Date Place Removed and/or and/or Held I Hold Address In 0 O. Date Point of (A❑Transportation Shipment p by Common Carrier Destination ElDisinterment 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 t~ Remains are Shipped,If Other than Above a Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/16/2024 Registrar of Vital Statistics Samanta it gitykoo(ECectronicatTySigned) (signature) District Number 4601 Place City Of Schenectady I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— Z Date of Disposition 2(lC(29 Place of Disposition ri,.4: i0 (P,6 i. LIJ 2 (address) G W Cl)CC (section) /J/(lot number) (grave number) Qcnj O Name of Sexton or Person in Charge of Premises r+i . . z (pieatd'print) W Signature Title f'octo a- DO H-1555(07/18)p 1 of 2 "s w "7 . '"i,`'' Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 1 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#