Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Scofield, Diane
Lf 53,0 NEW YORK STATE DEPARTMENT OF HEALTH " Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Diane Scofield Female Date of Death Age If Veteran of U.S.Armed Forces, 06/30/2023 70 Years War or Dates F— Place of Death Hospital,Institution or 11/ Z City,Town or Village Castleton On Hudson Village Street Address Riverside Center For Rehabilitation And Nursing p Manner of Death El Natural Cause ❑Accident Homicide Suicide Undetermined Pending CW Circumstances Investigation Medical Certifier Name Title Blessing Isiguzo NP Address 90 N Main St,Castleton On Hudson Village,New York 12033 Death Certificate Filed Village Of Castleton On Hudson District Number Register Number City,Town or Village 4124 21 BurialH Date Cemetery,Crematory or Facility Name 07/03/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation. goRemoval Date Place Removed p 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 Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above "2 Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/03/2023 Registrar of Vital Statistics cPaclraic Sean ElTs(EhctronicaCCy Signed) (signature) District Number 4124 Place Village Of Castleton On Hudson I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WZa�,,, ,Date of Disposition 7(j 1 73 Place of Disposition 2 (address) W U) 8 g (section) /I�(lot number) 1� 1 (grave number) Name of Sexton or Person in Char e o mises P/ir. i,� '� Z /p/e e print) W Signature !p g Title �'e�1n�''j'a DOH-1555(07/18)p 1 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# 3