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French, Noreen A .. ,.„ 1".5 N NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Noreen A.French Female Date of Death Age If Veteran of U.S.Armed Forces, 02/21/2023 95 Years War or Dates Place of Death Hospital,Institution or City,Town or Village Glens Falls Street Address Glens Falls Hospital ILII Manner of Death EI Natural Cause nAccident 111 Homicide Suicide Undetermined Pending US V Circumstances Investigation IlL Medical Certifier Name Title Abigail Macomber PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 98 ❑Burial Date Cemetery,Crematory or Facility Name 02/23/2023 Pine View Crematory Address ©Cremation Queensbury Town,New York JJDonation 0❑Removal Date Place Removed and/or and/or Held esHold Address n fit. Date Point of Cl) Transportation Shipment 0 by Common ` Carrier Destination ElDisinterment Date Cemetery Address Date Cemetery Address ill Reinterment Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address O.. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/23/2023 Registrar of Vital Statistics Megan 9lroCrn(Ekctronicaf Signed) (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: F-W Date of Disposition 2)7 y l-3 Place of Disposition (address) W r (section) (lot number)' (grave number) Name of Sexton or Person in Charge of Premises Tease print) r 111 Signature /+ Title !t7'r'1,1 f i pr( DOH-1555(07/18)pi of 2 0 I 6734 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#