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Towers, Nancy M
U s3 NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Nancy M Towers Female Date of Death Age If Veteran of U.S.Armed Forces, 02/11/2023 71 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Castleton On Hudson Village Street Address Riverside Center For Rehabilitation And Nursing p Manner of Death El Natural Cause Accident D Homicide Suicide Undetermined Pending U Circumstances Investigation W Medical Certifier Name Title 0 Adetutu Adetona MD Address 90 N Main St,Castleton On Hudson Village,New York 12033 Death Certificate Filed Village Of Castleton On Hudson District Number Register Number City,Town or Village 4124 Burial Date Cemetery,Crematory or Facility Name 02/14/2023 Pineview Crematory Entombment _ Address ©Cremation Queensbury Town,New York DDonation ZO❑Removal Date Place Removed and/or and/or Held N Hold Address 0 IL Date Point of (I)DTransportation by Common Shipment Carrier Destination Date Cemetery Address DDisinterment 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 I• Remains are Shipped,If Other than Above 2 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/13/2023 Registrar of Vital Statistics Padraic Sean Ellis(Electronically Signed) (signature) District Number 4124 Place Village Of Castleton On Hudson I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— W Date of Disposition Zr%3;4t3 Place of Disposition �� ,,J e e,,j eta,h .� 2 (address) /} W CC N (section) (lotnu her) (grave number) 0 Name of Sexton or Person in Cha Pre ises �mU J� yU ci Z ((lease pt/ W Signature —� Title �{)-er-4 '� rrin V DOH-1555(07/18)p id 2 (y i ". 7 A-g 07, timed u L. 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#