Loading...
Enzor, Carolyn d , fir 3y ll NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial Transit Permit Name First Middle Last Sex Carolyn Enzor Female Date of Death Age If Veteran of U.S.Armed Forces, 04/12/2023 88 Years War or Dates F,. Place of Death Hospital,Institution or Z City,Town or Village Fort Edward Village Street Address 30 Seminary Street, Fort Edward Village,New York 12828 W▪ Manner of Death Undetermined Pending El Natural Cause Accident Ei Homicide Suicide g W Circumstances Investigation W Medical Certifier Name Title CI Curtis Gedney MD Address 454 Glen Street,Glens Falls,New York 12801 Death Certificate Filed Town Of Fort Edward District Number Register Number City,Town or Village 5755 42 Burial Date Cemetery,Crematory or Facility Name 04/14/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation 8❑Removal Date Place Removed and/or and/or Held H Hold Address O G. Date Point of Cl)ElTransportation Q 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 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/14/2023 Registrar of Vital Statistics Aimee G Makoney(ECectronically Signed) (signature) District Number 5755 Place Town Of Fort Edward I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z ▪ Date of Disposition 9 l lg I Z3 Place of Disposition rt,..u..,, � 2 (address) W N (section) (lot number) (grave number) Name of Sexton or Person in Charge of Premises `" ^'-cy) .. (please print) Z W Signature Title fiZ m' � DOH-1555(07/18)p 1 of 2 'are �, r�r Y u� i✓ 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# '