Alden, Eileen E NEW YORK STATE DEPARTMENT OF HEALTH 1
Burial - Transit Perm
Bureau of Biostatistics -Vital Records Section it
Name First Middle Last Sex
Eileen Elizabeth Alden Female
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of Death Age If Veteran of U.S.Armed Forces,
March 12, 1988 39 War or Dates
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Z; ace of Death Hospital, Institution or
City,Town or Village Hudson Fails Street Address Hudson River
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Cause of Death
Probable Drowning ( Pending Toxifogical Exam of Internal Organs )
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Medical Certifier Name Title
p' Richard T. Hogan Coroner's Physician
.....................................:::::::Address:::::................................................................................................................................................................................................
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Main ST. , Hudson Fails, N.Y.
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Death Certificate Filed ': District Number Register Number
City,Town or Village Hudson Falls 5726 5
Date :; Cemetery or Crematory
El Burial March 14, 1988 Pine View Crematory
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®Cremation : Address
Town of Queensbury, N.Y.
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Z Place Removed
O< ❑ Removal and/or Held
and/or .........>: ...........................................................................................................................................................
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Address
Jir
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Date ..:. ....
tl Point of
W ❑Transportation by Shipment
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a> Common Carrier :;::.......: . .................... ......................::.
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Destination
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El Disinterment Cemetery Address
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Date Cemetery Address
❑ Reinterment
Permit Issued to Registration Number
Name of Funeral Firm Sullivan, Minihan & Potter, Inc. 02397
Address:.....................................................................................................................................................................................................................................................
Park Street , Glens FAlls, N.Y. 12801
Name.of.Furieral Firm:::::. ... ............................................................................................................................................
` Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
Permission is hereby granted to dispose of the human remains describe above
—ass-Indicated.
Date Issued 3/24/88 Registrar of Vital Statistics� � rn�
(signature)
District Number 5726 Place Village of Hudson Fails, N.Y.
I certify that the remains of the decedent identified above were disposed of in accordance with this
,ppermitt on:
Z. Date of Disposition 3 f `Ov Place of Disposition
(address)
Cn
(section) (lot number) (grave number)
0
p Name of Sexton or Person in harge of Premises 7
Z `�' ase �) X
to Signature \Y Title /�/� c�/
DOH - 1555 (9/86)p 1 of 2(formerly VS-61)