Quinn, Edward T . , a_ zq
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NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex .1
Edward T.Quinn Male
Date of Death Age If Veteran of U.S.Armed Forces,
01/03/2023 80 Years War or Dates
F- Place of Death Hospital,Institution or
WCity,Town or Village Wilton Town Street Address 28 Claire Pass,Wilton Town,New York 12831
p Manner of Death ❑X Natural Cause Accident ❑Homicide Suicide nUndetermined Pending
W U I 'Circumstances Investigation
W Medical Certifier Name Title
O Arthur Stevens MD
Address
1201 Nott Street 102,Schenectady,New York 12308
Death Certificate Filed Town Of Wilton District Number Register Number
City,Town or Village 4569 1
EBurial Date Cemetery,Crematory or Facility Name
01/06/2023 Pine View Crematory
Entombment Address
Cremation Queensbury Town,New York
Donation
ZO❑Removal Date Place Removed
and/or and/or Held
- Hold Address
0
d Date Point of
U)0Transportation Shipment
Q by Common
Carrier Destination
Disinterment Date Cemetery Address
Date Cemetery Address
0 Reinterment
Permit Issued to Registration Number
Name of Funeral Home Tunison Funeral Home 01730
Address
105 Lake Ave,Saratoga Springs,New York 12866
Name of Funeral Firm Making Disposition or to Whom
t- Remains are Shipped,If Other than Above
- Address
CC
W
CI. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 01/06/2023 Registrar of Vital Statistics Susan Bal[wth(Ekctronrcad Signed)
(signature)
District Number 4569 Place Town Of Wilton
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
I-
Z Date of Disposition )-7-Z0j3 Place of Disposition ,oe v;ev;,J C'r a„
2 (address)
W
U1 CC (section) (lot number) (grave number)
S I
O• Name of Sexton or Person in Char of Pre i �}I�MtJa ,JDO c'
Z l (please print)
W Signature Title Qfr-4-`-e"
DOH-1555(07/18)p 1 of 2
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Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on.buiial permit
Official Funeral Directors Reg.or License# •
Ick
Town of Queensbury
Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Edward T. Quinn
were cremated on January , 7 20 23 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death January , 3 20 23 Age 80
(Month) (Day)
Funeral Home Tunison Funeral Home Registered No. 29
3 �/
(Authorized Signature)
QUINN LF '
NAME Edward Quinn Age: 80
Lot Owner: Marjorie Quinn
Lot# Niche-Center Grave# A-6
Case: Urn
Died: 1 .3 .2 3 Interred: 5. 1 9 .2 3
Funeral Home: Tunison FH
Cemetery: Pine View
QUINN
Owner 04!)
Marjorie Quinn
Address Plot
28 Claire Pass , Saratoga Springs, NY 12866 Niche Wall-Center
Phone # Lot #
518-222-3131 A-6
Deed # Date
008 4.3 .23
Cost Foundation Y - N
$1 825.00
Location South-Quaker Rd.
North-Vacant
East-Vacant
West-Road
Remarks
Record of Interments -
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1 6
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3 8
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5 10
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