Loading...
Harrington Jr., Edward H. NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Edward H.Harrington Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 12/12/2020 68 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital W p Manner of Death © Natural Cause ❑Accident Homicide El SuicideUndetermined Pending W Circumstances Investigation W Medical Certifier Name Title CI Paul Bachman MD Address 3767 Main Street,Warrensburg Town,New York 12885 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 572 Burial Date Cemetery,Crematory or Facility Name 12/15/2020 Pine View Crematory Entombment Address ElCremation Queensbury Town,New York Donation • Removal Date Place Removed and/or and/or Held N Hold Address 0 a Date Point of (/) Li Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg, New York 12885 Name of Funeral Firm Making Disposition or to Whom I— Remains are Shipped,If Other than Above 5 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/14/2020 Registrar of Vital Statistics R9bertAndrew Curtis(ECectronically Signed) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition 1415 /70 Place of Disposition 014,rt.-- W 2 (address) W CC N (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Premises ���`'�� (pie se print) W Signature c.j. Title `KfiM � DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 01 4 2 E Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#