Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Cenate, Patricia Ann
1" c 39 NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Patricia Ann Cenate Female Date of Death Age If Veteran of U.S.Armed Forces, 07/01/2021 78 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital Manner of Death Undetermined Pending W ©Natural Cause �Accident �Homicide �Suicide U Circumstances Investigation W Medical Certifier Name Title G Asim Chaudry MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 265 ❑Burial Date Cemetery,Crematory or Facility Name 07/02/2021 Pine View Crematorium ❑Entombment Address ElCremation Queensbury Town,New York ❑Donation OZ Removal Date Place Removed and/or and/or Held F Hold Address 0 O. Date Point of (1) Transportation Shipment p by Common Carrier Destination Date Cemetery Address ❑Disinterment Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/02/2021 Registrar of Vital Statistics Rp6ertAndrew Curtis(ECectronicaCCy 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: LL Z Date of Disposition )-3 2o 2/ Place of Disposition P t h Q,�,- Y e-1 44:y W (address) W CC CC (section) ` (lot number) (grave number) JO Name of Sexton or Perso in Charge of Premis rti /t �K �'mkt hi t. 0 (please print) W Signature Title Z.-re , ��J 9),e- 2 v DOH-1555(07/18)p f 2 314907 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#