Walter, Frances NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Vital Records Section
Name First Middle Last Sex
Frances J. Walter female
............................................................................... ................................................................................................................................................................................................
Date of Death Age If Veteran of U.S. Armed Forces,
July 4, 1991 52 War or Dates No
Z Place of Death Hospital, Institution or
W City,Town or Village Town of Queensbury Street Address 11 Sherwood Drive
W Manner of Death El Natural Cause 0 Accident ❑ Homicide ❑ Suicide ❑ Undetermined D Pending
Circumstances Investigation
ILI Medical Certifier Name Title
b Mark Hoffman MD
Address
7 Murray Street, Glens Falls, New York 1280 .,.
Death Certificate Filed District Number Register Number
City,Town or Village City of Glens Falls -E -Lri- __7 39
Date Cemetery or Crematory
®Burial July 8, 1991 Pine View Cemetery
❑Cremation Address
Town of Queensbury, N. Y.
Z Date Place Removed
O ❑ Removal and/or Held
H and/or Hold ::::::
Address
N
a Date Point of
N ❑Transportation by Shipment
ca Common Carrier
Destination
❑ Disinterment Date Cemetery Address
❑ Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Firm Regan and Denny Funeral Service, Inc. 01602
Address
26 Quaker Road, Queensbury, New York 12804
I- Name of Funeral Firm Making Disposition or to Whom
a Remains are Shipped, If Other than Above
ul
Address
a
Permission is hereby granted to dispose of the hu a rem ins describ d bove as indicated.
Date Issued 7)t/9/ Registrar of Vital Statisti
r / ignat e
District Number ..�IQJ ) Place -!-6e
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
F-
Z Date of Disposition 7—i'—y/ Place of Disposition /9,0c-- e---74J (h�/r iey� 'c/t��rJSs ii/t/) n//
2 (address)
N 5., ..LC 46,Z /g"O 2
cc (section) (lot number) (grave number)
O'
p' Name of S-- •n or 'erson in Charge of Premises disc/.= . ,,'o s ffy---/Q___
Z (please print)
/
W Signatur- � t ,�i1�c�-s�.�a. . Title r
DOH-1555 (10/89) p. 1 of 2 VS-61
WALTER
Lot No. 180
Address 11 Sherwood Drive, Oueensburv, Ny 12804 Section No. 2
Owner Mr. Frank ti Walter, Jr Plot S.I.
Date 7/5/91
Approx. 67 Superficial ft. @
Location Bounded on North by Winters & Vacant, South by Miller, East by Gifford, West by Star
Corner Posts
Remarks
Deed No. (and changes) 2366
Payment Record Paid in Full 7/5/91
Record of Interments a���
'
2 Frances J. Walter 7/8/91 s
4 l
5 S
6 x ,
7I
8 I //eW.._
Form No. 01
NAME Walter, Frances J.
Age: 52
Cause: Natural Causes
Lot Owner: Frank B. Walter, Jr.
Lot # 180 S.I. #2
Grave # 2
Case # Concrete
Died: 7/4/91
Interred: 7/8/91
Undertaker:Regan & Denny