Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Turcotte, Elizabeth M
NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Elizabeth M Turcotte Female Date of Death Age If Veteran of US.Armed Forces, 08/23/2021 96 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Corinth Village Street Address 19 Heath Street,Corinth Village,New York 12822 ILJ f Manner of Death ©Natural Cause ❑Accident ❑Homicide 0 Suicide Undetermined n Pending W Circumstances Investigation W Medical Certifier Name Title George Siniapkin MD Address 604 Palmer Avenue,Corinth Town,New York 12822 Death Certificate Filed District Number Register Number City,Town or Village Corinth 4553 18 Burial Date Cemetery,Crematory or Facility Name 08/24/2021 Pineview Crematory ❑Entombment Address ]Cremation Queensbury Town,New York El Donation Removal Date Place Removed and/or and/or Held F—N Hold Address O N ❑Transportation Date Point of (7) by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom l._ Remains are Shipped,If Other than Above a Address Cr fill n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/24/2021 Registrar of Vital Statistics Brenda L Penis(Electronically Signed) (signature) District Number 4553 Place Corinth, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: IH Z Date of Disposition S(� S_}1 Place of Disposition p j yr e, uyy Cr ma Y 2 (address) W N Cr (section) (lot number) (grave number) gj Name of Sexton or Person in Charge of Premises J� �X �f� (please print) W Signature Title Cof�nU r DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) .. * 215074 1 Receipt 41 , , 1 - (- Human remains of - delivered on , 20 .,/,"4 / 4 ..-'. ...Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#