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By the end of 1999, Abp Anthony's health began to falter. On [[January 1]], 2000 he was granted a leave of absence by the Synod of Bishops for rest and medical treatment in order to regain his health. During this time Bp. Kyrill (Dmitrieff) of Seattle was assigned as temporary administrator of the Western American Diocese. During the year, Abp. Anthony continued to conduct services as his health allowed. By September 2000, his health had deteriorated greatly, and on [[September 22]], 2000 Abp. Anthony reposed in Our Lord.
A funeral liturgy was served on [[September 25]] in San Francisco before his remains were sent to New York, where a monastic funeral and burial service was conducted on [[September 28]] at Holy Trinity Monastery in Jordanville, as Abp Anthony had requested. Abp. Laurus, the Superior of the Monastery, officiated, along with [[Alypy (Gramanovich) of Chicago|Abp. Alypy of Chicago and Detroit]], Bp. Kyrill of Seattle, and [[Gabriel (Chemodakov) of Manhattan|Bp. Gabriel of Manhattan]]. Also, in attendance were Bps. [[Evtikhii of Ishim and Siberia]] and [[Mitrophan (Znosko-Borovsky) of Boston|Mitrofan of Boston]] and about 50 priests.