Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Brennan, Melissa Beth
2,i 6,r__ N EW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Melissa Beth Brennan Female Date of Death Age If Veteran of U.S.Armed Forces, 07/25/2023 56 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Mount Pleasant Town Street Address Westchester Medical Center 'p Manner of Death �Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title 0 Wei Tang Address 100 Woods Road,Mount Pleasant Town,New York 10595 Death Certificate Filed Town Of Mount Pleasant District Number Register Number City,Town or Village 5957 524 Burial Date Cemetery,Crematory or Facility Name 07/31/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation ❑Removal Date Place Removed and/or and/or Held H N Hold Address O O. Date Point of (/) Transportation Shipment p by Common 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 1— Remains are Shipped,If Other than Above 2 Address CIC a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/28/2023 Registrar of Vital Statistics Emily Costanza(ECectronica((y Signed) (signature) District Number 5957 Place Town Of Mount Pleasant I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition 7 '3I—Lo 3 Place of Disposition F jre, 1/;C,o) Cfe,4icrio 1(1 IJJ 2 (address) W N (section) (lot number) (grave number) S Name of Sexton or Person in Charge of Premises 3--;rm cy SZji,re S (please print/ W Signature Title Cfe.d.<<_, f DOH-1555(07/18)p 1 of 2 c,. 1 .`„ 4.r Public Health Law Sec. 4145(2b) Receipt Human remains of , , delivered on , 20 1 , Pine View Cemetery Representing the luneral home named on burial permit Official Funeral Directors Reg.or License# 1 '2 /