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Stiles, Linda Ann
L ZiS NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Linda Ann Stiles Female Date of Death Age If Veteran of U.S.Armed Forces, 03/03/2023 76 Years War or Dates i_ Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death 0 Natural Cause Accident ❑Homicide Suicide Undetermined Pending V Circumstances Investigation WC Medical Certifier Name Title Melody Long PA Address 100 Park Street,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 122 Burial Date Cemetery,Crematory or Facility Name 03/07/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York EiDonation Removal Date Place Removed and/or and/or Held — Hold Address O O. Date Point of Cl) Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom I— Remains are Shipped,If Other than Above 2 Address CC Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/07/2023 Registrar of Vital Statistics Megan Wolin(Electronically 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: Z Date of Disposition 318 17 3 Place of Disposition W (address) W Q /sedan/ /�' (lot number) (grave number) rt 8 Name of Sexton or Person in Charge rern'ses G /1" � /,lease print) W Signature l Title I �riyn� T✓� DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of "deiiVered on , 20 Pine View Cemetery Representing the funeral home named ap;huria,1 permit Official Funeral Directors Reg.or License# • '