Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Barber, Earl Frederick Jr.
-ltZ I Z NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Earl Frederick Barber Jr. Male Date 01 Death Age If Veteran of U.S.Armed Forces, O3//04/2022 61 Years War or Dates Place of Death Hospital,Institution or Z City,town or Village Hudson Falls Village Street Address 61 Boulevard Street,Hudson Falls Village,New York 12839 CI Manner o#Death Natural Cause nAccideni nHomicide nSuicide nllndetermiFred nPending Circumstances Investigation V itle t1,1 Medical Certifier Name a Darci Gaiotti-Grubbs MD Address 100 Park St,Glens Fails,New York 12801 Death Certificate Filp'd Village Of Hudson Falls District Number Register Number City,town or Village ,;,,J 5726 13 Burial a Da(e Cemetery,Crematory or Facility Name 03/07/2022 Pine View Crematorium DErdourbment Address nCremation Queensbury Town,New York InDonation Z Date Place Removed d❑Removal andlor Held -� and/or Hold Address 0 L3, Dale Point of f!?n transportation Shipment © by Common Carrier Destination Date Cemetery Address nDisinterment n Date Cemetery Address I I Reinterment 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 Remains are Shipped,It Other than Above 5 Address CC W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/07/2022 Registrar of Vital Statistics Onth: 13anir( Ir<rrbrrrtw7 S>;ne4 (s'ualu1e) District Number 5726 Place Village Of Hudson Fails I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H Z Date of Disposition 3 J£I ZZ Place of Disposition Frkt f to (alit rasa! W CC CC (.1 1.fiw/ lot rru,nbos) lgra;P MAIM g Name of Sexton or Person in Charge of 4Premes 1 Ai 51�1.4(n ;pleas& bill Z `" M►f Signature Title DOH-1555(07/18)p 1 01 2 Public Health Law Sec. 4145(2b) $ " O Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#