Turner, Judy Lynn itZ1
NEW YORK STATE DEPARTMENT OF HEALTH • Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Judy Lynn Turner Female
Date of Death Age If Veteran of U.S.Armed Forces,
02/26/2021 61 Years War or Dates -
H Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
ILI
p Manner of Death IJ Natural Cause Accident ❑Homicide 0 Suicide Undetermined Pending
W Circumstances Investigation
W Medical Certifier Name Title
O Scott Biasetti MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed District Number Register Number
City,Town or Village Glens Falls 5601 120
EiBurial Date Cemetery,Crematory or Facility Name
03/01/2021 Pine View Crematory
0 Entombment Address
ElCremation Queensbury Town,New York
ElDonation
Removal Date Place Removed
and/or and/or Held
HN Hold Address
0
d Date Point of
t/) ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment
Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Maynard D Baker Funeral Home 01130
Address
11 Lafayette St,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
— Remains are Shipped,If Other than Above
5 Address
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/01/2021 Registrar of Vital Statistics tP6ertAndrew Curtis glectronicaI?iSignei9
(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:
I— I
Z Date of Disposition 3 Jl /Zt Place of Disposition ?Mg— �►r
2 (address)
W
CC N
(section) dot number) (grave number)
GName of Sexton or Person in Charge of Premi sAot
Z (pleas rint)
W Signature Title at4044-rk
DOH-1555(07/18)p t of 2
01_45Q5
Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20 -
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#