Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Brennan, John F
LFG0LI NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex John F Brennan Male Date of Death Age If Veteran of U.S.Armed Forces, 07/28/2022 77 Years War or Dates F Place of Death Hospital,Institution or Z City.Town or Village Crown Point Town Street Address 2073 Creek Road,Craws Point Town,New York 12928 p Manner of Death Natural Cause DAuident ❑Homicide Suicide ❑Undetermined ❑Pending UCircumstances Investigation �W Medical Certifier Name litle Keilie Valentine Coroner Address PO Box 132,Elizabethtown Town,New York 12932 Death Certificate Filed Town of Crown point District Number Register Number Town or Village 1551 12 Burial Date Cernetery,Crernatory or Facility Name 08/01/2022 Pine View Crematory Entombment Address JCrematron Queensbury Town,New York DDonation Z El RemovalDate Place Removed © and/or and/or Held H Hold Address N 0 a. Date Point of U!0-transportation El Common Shipment Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address Reinterment Permit Issued to Registration Number Name of Funeral Home Edward L Kelly Funeral Home 00519 Address PO Box 548,Schroon lake,New York 12870 Name of Funeral Firm Making Disposition or to Whom }- Remains are Shipped,If Other than Above M Address Ili tit a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/29/2022 Registrar of Vital Statistics Liiuk (Eketivt&alb"'Spledi 'Sjrr (sOaturel District Number 1551 Place Town Of Crown Point I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Ii— Z Date of Disposition gi—ZQ� Place of Disposition ?d P W I r' od 2 /a ress) W N ("aim/ Y (lot n mberi (grave number) CC Name of Sexton or Person in Charge o remise (��h e4 Z ` (p ase print) W Signature Title 00 DOH 1555 io7/18)p 1 of 2 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#