Turner, Colleen Town of Queensbury
Certification of Cremation
a Pine View Cemetery and Crematory
This certifies that the remains of: Colleen Turner
were cremated on July , 9 20 21 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death July , 2 20 21 Age 69
(Month) (Day)
Funeral Home Baker Funeral Home Registered No. 554
Zji
(Authorized Signature)
NEW YORK STATE DEPARTMENT OF HEALTH BUrlal - Transit Pe It
Bureau of Vital Records f `
Name First Middle Last Sex
Colleen Jane Turner Female
Date of Death Age If Veteran of U.S.Armed Forces,
07/02/2021 69 Years War or Dates
F. Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
LU
p Manner of Death ❑X Natural Cause El Accident Homicide Suicide Undetermined Pending
W Circumstances Investigation
U
MIp Medical Certifier Name Title
Sean Bain MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed District Number Register Number
City,Town or Village Glens Falls 5601 272
ElBurial Date Cemetery,Crematory or Facility Name
07/06/2021 Pine View Crematory
El Entombment Address
ElCremation Queensbury Town,New York
Donation
Removal Date Place Removed
F and/or and/or Held
N Hold Address
0
a. Date Point of
U) Li Transportation
5 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
1 Remains are Shipped,If Other than Above
.a Address
LU
C' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/06/2021 Registrar of Vital Statistics d'Pien,VVndrewCurtis(EkctronicaI'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 7 lei Place of Disposition t 1 ff a�
2 (address)
LU
U)
CC (section) n (lot number) C (grave number)
• Name of Sexton or Person in Charge of Premise
Z (pleae print)
tU Signature r' Title C12
DOH-1555(o7/18)p t of 2
Public Health Law Sec. 4145(2b) 01_ 4 9 2 2
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg. or License#
COON
Owner �, .John & Cynthia Coon -IWOK) CV' OINS
Address 60 1`)`8 Plot
Box 543, Hague, NY 128-3-6 1a'W5 Abenaki
Phone # Lot #
��� La ► CI.-CiOs3 8C
Deed # Date
2917 10/2/1 S
Cost Foundatio N
1 , 050
Location Bounded on the North by West, South by LeRoux
East by Vacant and West by VanVranken
Remarks
John Coon lot and Shirley West lot, switched in May 2002.
See attached letter if there are any questions.
Record of Interments
1 A) John Coon II 6/1 0/1 6 Crem
2 7
3r, /- �-7. 9- ao ai 8
o/i <A) liianci h.d 7-a- 26a/
4 9
5 10
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TURNER
NAME Colleen Turner Age: 69 LF
Lot Owner: John & Cynthina Coon
Lot# Abenaki 8C Grave# 4
Case: Urn
Died: 7/2/2 0 21 Interred: 7/1 3/2 0 21
Funeral Home: Baker FH
Cemetery: Pine View