Sovetts, Maria V •
Town of Queensbury
_ Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Maria V. Sovetts
were cremated on May , 5 20 23 at the Pine View
(Month) (Day)
Crematorium, Queensbury,New York, and these are the cremated remains of said body.
Date of Death May , 3 20 23 Age 95
(Month) (Day)
Funeral Home Regan,Denny,Stafford Funeral Home Registered No. 396
(Authorized Signature)
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Maria V.Sovetts Female
Date of Death Age If Veteran of U.S.Armed Forces,
05/03/2023 95 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Moreau Town Street Address 198 Bluebird Road,Moreau Town,New York 12803
,p Manner of Death El Natural Cause Accident Homicide ESuicide Undetermined Pending
Circumstances Investigation
W▪ Medical Certifier Name Title
Q
Madison Zuis NP
Address
9 Carey Road,Queensbury Town,New York 12804
Death Certificate Filed Town Of Moreau District Number Register Number
City,Town or Village 4562 22
Burial Date Cemetery,Crematory or Facility Name
05/04/2023 Pine View Crematory
Entombment Address
Cremation Queensbury,New York
DDonation
Removal Date Place Removed
; and/or and/or Held
Hold Address
U)❑Transportation
Date Point of
S by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
EIReinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Regan Denny Stafford Funeral Home 01443
Address
53 Quaker Rd,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
}. Remains are Shipped,If Other than Above
Address
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 05/04/2023 Registrar of Vital Statistics Brenda J(utter(E(ectronicalTySigned)
(signature)
District Number 4562 Place Town Of Moreau
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
ZIU Date of Disposition ,s(S ha Place of Disposition t...
(aadress)
W
IE (section) (tot number) (grave number)
gName of Sexton or Person in Charge of Premises LLL �- ft
Z (pi se print)
W Signature Title 4'� �
DOH-1555(07/18)p t 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#
ry
SOVfiTTS
Lot No. 1-A
3dress 94 Sheridan St_. . Glens Falls , NY 12801 Section No.
wner Robert D . & Maria V . Sovetts Plot Abenaki
ate 9/30/98
Approx . 67 Superficial f t.
)cation Bounded on North by Bradley , South by Vacant , East by Vacant ,
West by WoQds .
)rner Posts
marks
eed No. (and changes) 2 914
iyment Record Paid in Full 9/30/98 ($700 . 00)
!cord of Interments
Robert D. Sovetts 7/8/02 (CREM) Eff
1A) David Sovetts 6/22/2018 (CREM) Y /"
fK
— rn eto Soqe i-j-3 5,q a3 .N)L IA! c-r
S
m, No. 01
SOVETTS
NAME Maria V. Sovetts Age: 95
Lot Owner: Robert D. & Maria V. Sovetts
Lot# Abenaki Grave# 2
Case: Urn
Died: 5.3 .23 Interred: 5. 9.23
Funeral Home: Regan Denny Stafford
Cemetery: Pine View