Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Morrow, Francine Marie
0 # --)go NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Francine Marie Morrow Female Date of Death Age If Veteran of U.S.Armed Forces, 09/28/2023 67 Years War or Dates F. Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address 31 Montcalm Street,Glens Falls,New York 12801 p Manner of Death ❑X Natural Cause nAccident 0Homicide Suicide nUndetermined Pending W Circumstances Investigation U W Medical Certifier Name Title CI Darci Gaiotti-Grubbs MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 450 FBurial Date Cemetery,Crematory or Facility Name 10/02/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York lilDonation O n Removal Date Place Removed and/or and/or Held H Hold Address CO 0 O. Date Point of N oTransportation Shipment p by Common Carrier Destination nDisinterment Date Cemetery Address Date Cemetery Address 0 Reinterment Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom F. Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/02/2023 Registrar of Vital Statistics Megan.7Vo1in(E(ectronica((ySigned) (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: II— I Date of Disposition itI31l3 Place of Disposition -rT NE✓':-c,� f Prvfn'r?t� 2 (address) W !A 12 (section) 1 (lot numb (grave number) 0z Name of Sexton or Person in Charge of Premises "y_. rnplease print) W Signature ,�� Title re-CfrKf DOH-1555(07/18)p 1 of 2 f '..?'134 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# 1`- z4