Loading...
Aldrich, Eric L UNEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Eric L.Aldrich Male Date of Death Age If Veteran of U.S.Armed Forces, 03/08/2023 45 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Wilton Town Street Address 188 Ruggles Road,Wilton Town, New York 12866 p Manner of Death 0 Natural Cause Accident ❑Homicide Suicide Undetermined ❑Pending W U Circumstances Investigation W Medical Certifier Name Title O Tammy Wheeler PA Address 11 Hampstead Place 103,Saratoga Springs, New York 12866 Death Certificate Filed Town Of Wilton District Number Register Number City,Town or Village 4569 19 Burial Date Cemetery,Crematory or Facility Name 03/10/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town, New York ▪Donation 0❑Removal Date Place Removed and/or and/or Held _ H Hold Address N 0 d Date Point of U) Transportation Shipment Q by Common Carrier Destination Date Cemetery Address Disinterment ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Brewer Funeral Home Inc 00211 Address 24 Church Street PO Box 500, Lake Luzerne, New York 12846 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 2 Address Q LU O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/10/2023 Registrar of Vital Statistics Susan Baldwin(Electronically 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 3.4/?dZ"3 Place of Disposition -----Pi 'JP (A P..) L t`e-m4 17, r W (address) W CC CC (section) (lot number (grave number) I 0 Name of Sexton or Person in Char of Pr mi la/PI 10 �. �V 00 Z j_ (please print) lL Signature o % ` A' Title p62_'„4-"r"�► DOH-1555(07/18)p 1 of 2 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#