Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Feele-Jones, Elizabeth M
e 1. H3-L NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Elizabeth M Feeley-Jones Female Date of Death Age If Veteran of U.S.Armed Forces, 05/16/2021 89 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital W Manner of Death Pending G ©Natural Cause �Accident �Homicide �Suicide �Undetermined � W U Circumstances Investigation WC Medical Certifier Name Title William Cleaver MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 218 0 Burial Date Cemetery,Crematory or Facility Name 05/19/2021 Pine View Crematory ❑Entombment Address 0 Cremation Queensbury Town,New York 0 Donation Z Removal Date Place Removed and/or and/or Held H Hold Address NQ O. Date Point of tl) ❑Transportation Shipment ES by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom -. Remains are Shipped,If Other than Above 2 Address CC W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/18/2021 Registrar of Vital Statistics qZgbertAndrew Curtis(ECectronicaffy 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: /9 W Date of Disposition 5111 I Zi Place of Disposition d�rn��ss).._ L*0(t� W LC (section) /�/ number) (grave number) O Name of Sexton or Person in Charge of Premises b h r`' 144r z (please p t) W Title Cr ��2 Signature DOH-1555(07/18)p 1 of 2 � r Public Health Law Sec. 4145(2b) 01 4 8 0 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#