Parent, Dorothy NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Dorothy Mae Parent . female
Date of Death Age If Veteran of U.S. Armed Forces,
July 12, 1997 90 War or Dates no
1.4 Place of Death Hospital, Institution or
g City, Town or Village Town of Queensbury Street Address Hallmark Nursing Centre
1 Manner of Death LAil7TINatural Cause 0 Accident 0 Homicide 0 Suicide 0 Undetermined 0 Pending
Circumstances Investigation
Medical Certifier Name Title
E1 Eric Goe MD
Address
747 Upper Glen St. , Queesnbury, New York 12804
Death Certificate Filed District Number Retster Number
''< City, Town or Village Town of Queensbury S(c -Th C ,
0 DateCemetery
or
Burial • July 15, 1997 Pine w Crematory Cemetery V
Address
0 Cremation Queensbury, New York
Date Place Removed
2 Removal and/or Held
•�• and/or Address
gHold
O Date Point of
05 Q Transportation Shipment
O by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
::::: ElPermit Issued to Registration Number
gii Name of Funeral Home Regan and Denny Funeral Service, Inc. 01565
Address 53 Quaker Road, Queensbury, New York 12804
4ii:;; Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
M
1
I Permission is hereby granted to dispose of the human remains described above as indicated.
g LQ0 PM . AA )-...Q Arz
Date Issued' �� ��j � Registrar of Vital Statistic
(signature)
€€ District NumbeEg- QS Place 1 (—)1 --vm ( .sk)
I certify that the remains of the decedent identified above were disposed of in accordanc ith this permit on:
fw
5 Date of Disposition 7/1 5/97 Place of Disposition P i nP VtPua ( me# =: Q e.ns, :; y FAY _
(address)
Cl) Oneida 46 2
CC (section) • (lot number) (grave number)
GName of Sex r Person in Charge of Premises Rodney G. Mosher
Z (please print)
Signature ,Oz0A-7eiThl,tycy Title Superintendent
DOH-1555 (10/89) p. 1 of 2 VS-61
NAME Parent , Dorothy Mae
Age: 90
Cause: Natural
Lot Owner: Dennis Abbenante
Lot # 46 Oneida
Grave # 2
Case # Concrete
Died: 7/12/97
Interred: 7/15/9 7
Undertaker: Regan & Denny
AlISENANPE
Lot No. 46
Address
10627 Washington Rd., So. Glens Falls, N.Y. Section No.
Owner Dennis AhhPnante Plot Oneida
Date. -6/7/79
135 Superficial ft. @ $5oo.o0
Location Bounded on the North by Vacant, East by Path, South by Mackey, West by Vacant
Corner Posts
Remarks
Deed No. (and changes) 1537
Payment Record Paid in full 6/7/79
Form No. 01
Record of Interments
1 I 5
Irk Irk Arthur J. Parent Jr. ( /79)
2 Dorothy Mae Parent 7/15/97 6
3 ;Deborah Wei nhPraer 1 0/1 fl/7fl1 9 Pig
4 I Stephen Carl Weinberger nnn i7/7/20J08F'/S.
S 7
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