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Sweeney, Barbara F
. 7 - ity,/, - ,, , r 'LF) NEW YORK STATE DEPARTMENT OF HEALTH :�- _/ Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Barbara F Sweeney Female Date of Death Age If Veteran of U.S.Armed Forces, 10/20/2022 81 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital W Manner of Death a Natural Cause ❑Accident Homicide Suicide Undetermined Pending Circumstances Investigation WMedical Certifier Name Title G Marvin Davidowitz MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number n Register Number City,Town or Village 5601 533 Burial Date Cemetery,Crematory or Facility Name ...., 10/22/2022 Pine View Crematorium Entombment Address Cremation Queensbury Town,New York LiDonation 0❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 a Date Point of (I)❑Transportation S by Common Shipment Carrier Destination El Disinterment Date Cemetery Address EiReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom — Remains are Shipped,If Other than Above 2 Address CC W CI. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/21/2022 Registrar of Vital Statistics Megan.Nofin(E(ectronica1TySigned) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: II— IDate of Disposition /j2-ZZ-Zc,Zz Place of Disposition �� 0e ('i'e,,,� Cr v!4-/' f-- 2 (address) UJ Cl)CC (section) (lot number) (grave number) gName of Sexton or Person in Charge remises A kat.,r Lt)n0,---/ Z (please print) W Signature TIIII _11 l Title Oe'P�z'L ©4— DOH-15551o7/t8)p 1 of 2 • 1�'w� JT "T 8F' C'(l . Public Health Law Sec. 4145(2.b) Receipt . i-, { • Human remains of •. ,. ,' delivered on , 20 -i� • Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#