Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Stoff, Linda Patricia
4.510 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records ell Name First Middle Last Sex Linda Patricia Stoff Female Date of Death Age If Veteran of U.S.Armed Forces, 06/30/2023 60 Years War or Dates i_ Place of Death Hospital,Institution or WCity,Town or Village Queensbury Town Street Address 31 Boulevard,Queensbury Town,New York 12804 p Manner of Death Z Natural Cause Accident Homicide Suicide Undetermined ri Pending W 0 Circumstances Investigation WD Medical Certifier Name Title Timothy Murphy Coroner Address 52 Haviland Avenue,Glens Falls,New York 12801 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 104 Burial Date Cemetery,Crematory or Facility Name 07/05/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation 0 Removal Date Place Removed H and/or and/or Held N Hold Address 0 O. Date Point of U)❑Transportation p by Common Shipment Carrier Destination 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 F.. Remains are Shipped,If Other than Above a Address Cr W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/05/2023 Registrar of Vital Statistics Caroline HYlegaree Barber(Electronically 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 71 iO I Z j Place of Disposition -r,KUv A, 2 (address) W U) S (section) %tt (lot number) (grave number) Name of Sexton or Person in C ilt Z (Pease print/ W Signature Title g �►„�f DOH-1555(o7/t8)p 1 of 2 ` .... 7Oi 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#