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Canale, Marlene NEW YORK STATE DEPARTMENT OF HEALTH eill Burial — Transit Permit Bureau of Vital Records Name First Middle Last Sex Marlene Canale Female Date of Death Age If Veteran of U.S.Armed Forces, 11/06/2022 88 Years War or Dates , 1., Place of Death Hospital,Institution or City,Town or Village Glenville Town Street Address Glendale Home-Schdy Cnty Dept Social Services Manner of Death EINatural Cause Accident Homicide Suicide Undetermined Pending aCircumstances Investigation Ui Medical Certifier Name Title 0 Leshaun Angmor NP Address 59 Hetcheltown Rd,Glenville Town,New York 12302 Death Certificate Filed Town Of Glenville District Number Register Number City,Town or Village 4651 137 Burial Date Cemetery,Crematory or Facility Name 11/14/2022 Pine View Cemetery X Entombment Address l Cremation Queensbury,New York Donation 2,0 Removal Date Place Removed and/or and/or Held t- Hold Address is Date Point of Cl) Transportation Shipment a by Common Carrier Destination Disinterment Date Cemetery Address uy Ati Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address a 53 Quaker Rd,Queensbury, New York 12804 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address 10. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/08/2022 Registrar of Vital Statistics Julie Davenport(ECectronica1Ty Signed) (signature) District Number 4651 Place Town Of Glenville I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:Date of Disposition (D• 15 •'a'A Place of Disposition ,J 1 Quc-a<<S,RD0.1 .---i-alliN Y\' L/ J 0)o'] (address) l CC (sect/ ' (lot number) (grave number) 8` Name of Sexton or Person in Charge of Premises Q.S-?nn e '10 e-C Z (please print) W Signature ,J '�'. e .t Title / `4'U e''�12 t,CIi"t'N'IdenTL DOH-1555(07118)p 1 of 2 CANALE ©F. r 7 Owner Gregory & William Cana1P Address Plot 456 Bay Rd. Oueenshnry, NY 12804 Horicon Phone # Lot # 518-542-4050 34A & 35 A Deed # Date 4358 11 .8.22 Cost Foundation Y - N $5600.00 Location West-Vacant East-Vacant North-Vacant South-Vacant Remarks Record of Interments �sl ��. ��•� as 6 -t` orAexle or,c,1 e lav5 's 2 7 3 8 4 9 5 10 V,ncc : -I[en Ritene.. 7 £ I" � CANALE ( !. F) NAME Marlene Canale — Age: 88 LotOwner:William & Gregory Canale Lot# Horicon 34A & 35A Grave# 1 Mausoleum Case: Died: 1 1 .6.2 2 Interred: 6. 1 5.2 3 Funeral Home: Regan Denny Stafford Cemetery: Pine View