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Beahan, Darlene Madeline Sga NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Darlene Madaline Beahan ` Female Date of Death Age If Veteran of U.S.Armed Forces, 07/14/2021 76 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital 'p Manner of Death ©Natural Cause ❑Accident 1:1Homicide ❑Suicide ElUndetermined ❑Pending Circumstances Investigation WMedical Certifier Name Title 0 Kelly Maley PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 290 ❑Burial Date Cemetery,Crematory or Facility Name 07/16/2021 Pine View Crematorium ❑Entombment Address lCremation Queensbury Town,New York Donation ZO ❑Removal Date Place Removed and/or and/or Held Hold Address N 0 a Date Point of co ❑Transportation p by Common Shipment Carrier Destination Date Cemetery Address El 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 5. Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/16/2021 Registrar of Vital Statistics Robert Andrew Curtis(E(ectronicaCCySigned) (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: IH W Date of Disposition 7/7 fax( Place of Disposition aide 11; ) Cr-e t4- a� 2 (address) W CC N �l (section) (lot number) (grave number) gName of Sexton or Person in Charge Premises �a/410 i P- 4/ Z (please print) IL Signature �� i f� Title 44.4c. DOH-1555(07/18)p 1 of 2 q,. Public Health Law Sec. 4145(2b) 1.4951 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named 9n purial permit Official Funeral Directors Reg.or License#