Abbenante, Josephine ',miry TUKK JTATE DEPARTMENT OF HEALTH
OFFICIAL BURIAL (OR REMOVAL) PERMIT
ilaF This permit can be signed only by the Local Registrar (Deputy or subregistrar) of the Primary Registration District
(Town, Village, or City) in which the death occurred after the FILING and acceptance of a CORRECT AND COMPLETE CERTI-
FICATE OF DEATH, LEGIBLY WRITTEN IN DURABLE BLACK INK.
Registered No. 6/17
Dist. No. 5601 County Warren Town, Village
or City City of Glens Falls
If city, give street address)
Name of deceased Josephine T. Abbenante Veteran No
(If veteran,give name of War)
Single, married,widowed,
Married Sex Female or divorced (write the word) .. Date of Death Dec. 27 19..79
Age 53 Years Months Days Birthplace New York _State
Cause of Death Ventricular Arrythmia
Certificate was signed by H.B. .Hudnut,Jr. M.D
Address 17 Pine St. ,Glens Falls, NY
Place of Burial (or Removal) Town of queensbury, NY
(If body is to bvntemporarily held, fill in space later)
rine View Cemetery
Cemetery Date of Burial Dec. 31 19 79
(If body is to be temporarily held, fill in space later)
The CERTIFICATE OF DEATH containing the above stated particulars. having been presented to me, after careful examination,
the same appearing to be COMPLETE, CORRECT, AND SATISFACTORY AS REQUIRED BY LAW, I have accepted the same
for registration, have recorded it in my Local Record with the above stated Registered Number, and on the basis thereof I HERE-
BY GRANT A PERMIT
quaker Rd. ,Glens Falls, N.Y.
to Regan_ &..D.enny.,_Inc.._
(Name) (Address)
the Undertaker to hold temporarily and Inter the body
(Unlertaker or pers having charge of corpse) (Inte tsloe, or her e dis ose of (state how))
`ated ,/,..7. .3/ 19 7y (Signed)
Local IZegi rar
;s Permit is sufficient for the Removal (and Interment or Cremation) of a body to any part of the State (subject to local
"ir other regulations),unless removal is by common carrier, in which case a Transit Permit (VS No. 62) is required.
'REV. 6/631 18A2-781
ENDORSEMENT OF SEXTON OR PERSON IN
CHARGE OF PREMISES ON WHICH INTERMENTS
OR CREMATIONS ARE MADE
Date of ,, was /-/3./ 19 77
(Interment or CTemation).__,.
(Name of Cemetery, m etc.)
Section a Lot No. `1 / Grave No.
(Signed)
c.) w? & 471,--1--r-kj
(Person in Charge)
Address p_ / 7----e_ 09,e
/�,,
Person in charge must return this Permit to the Registrar
of his District within SEVEN (7) DAYS from above date.
If no person is in charge, the FUNERAL DIRECTOR or
UNDERTAKER MUST SIGN ABOVE STATEMENT,
write across the face of the Permit the words "No person in
charge," and FILE PERMIT WITHIN THREE (3) DAYS
with the Registrar of District in which cemetery is located.
SEXTONS, FUNERAL DIRECTORS and UNDER-
TAKERS violating the law relative to the return of permits
are liable to a penalty of NOT LESS THAN FIVE DOL-
LARS NOR MORE THAN FIFTY DOLLARS FOR THE
FIRST OFFENSE. The law will be enforced. Local Regis-
trars are required, under penalty, to report violations thereof.
NAME Abbenante , Josephine T.
Age: 53
Cause: Ventricular Arrythmia
Lot Owner:Jerry Abbenante
Lot # 31 Oneida
Grave # 2
Case # Concrete
Died: 12/27/79
Interred: 12/31/7 9
UndertakerRegan & Denny
AEBENANTE
1 Lot .` o. 31
Address 5 Madison St., Glens Falls, N.Y. Section No.
Owner Jerry & Josephine Abbenante Plot
Oneida
Date Y. 6/20/79
b7 Superficial ft. @ $250.00
Location Bounded on the North by Path , East by Path,& Caulter, South by Abbenante, Westby Vacan
Corner Posts
Remarks
Deed No. (and changes) 1539
Payment Record Paid in full 6/20/79
Form No. 01
Record of Interments
1 5
Josephine T. Abbenan#e(12/31/79) 6
3 7
4 8
144
X . �
Q
7'r/Th/