Loading...
McNaughton, Carol (...\ inF # bs-g NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Carol McNaughton Female Date of Death Age If Veteran of U.S.Armed Forces, 08/16/2023 81 Years War or Dates r Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address 25 Kenworthy Avenue A,Glens Falls,New York 12801 p Manner of Death 111 Natural Cause Accident ❑Homicide 0Suicide FlUndetermined ❑Pending W C.) Circumstances Investigation W Medical Certifier Name Title O Jennifer Stratton MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 385 EBurial Date Cemetery,Crematory or Facility Name 08/18/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York IIIDonation ZO❑Removal Date Place Removed - and/or and/or Held _ ~- Hold Address N 0 O. Date Point of CO OTransportation Shipment p by Common Carrier Destination Date Cemetery Address Disinterment Date Cemetery Address El Reinterment Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above i Address OC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/18/2023 Registrar of Vital Statistics Wegan.Norn(Electronica(Signed) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: l— Z Date of Disposition /9—1pz 3 Place of Disposition I i r ie tJ e N) Gr'e'744 N MI /address/ W N Cr (section) (/o number/ (grave number) �-1 GName of Sexton or Person in Charge of Pr miles - l<A il'lP�'`] L a! z (please print) / Ill Signature ( Title 0 trakelec DOH-1555(07/18)p 1 of 2 - rvl79 17 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#