Loading...
Hood, Robbin Lynn •__ r. NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Robbin Lynn Hood Female Date of Death Age If Veteran of U.S.Armed Forces, 05/27/2023 63 Years War or Dates 1981-1983 H Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address Glens Falls Center for Rehabilitation and Nursing p Manner of Death ❑X Natural Cause Accident 0 Homicide ESuicide nUndetermined n Pending W Circumstances Investigation 0 Medical Certifier Name Title C Jennifer Donovan DO Address 152 Sherman Ave,Queensbury Town,New York 12801 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 82 RBurial Date Cemetery,Crematory or Facility Name 05/30/2023 Pineview Crematory Entombment Address ©Cremation Queensbury Town,New York Donation ZO❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 O. Date Point of N OTransportation Shipment p by Common Carrier Destination El Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above a Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/30/2023 Registrar of Vital Statistics Caroline x(fegarde Barber(ECectronicalTy Signed) (signature) District Number 5657 Place Town Of Queensbury I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z . W Date of Disposition 5 Ix I Z3 Place of Disposition {�c� 7.4(add W CC CC (section) ‘(lot number) (grave number) 8 Name of Sexton or Person in Charge of Premises /nr-- li Z /ease print) W Signature s✓ Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human ren'sins of delivered on 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#