Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Whittemore, Edwin A
Bureau oT V lid r rtecoros ?} gY Name First Middle Last @ Sex Edwin A Whittemore Male Date of Death Age If Veteran of U.S.Armed Forces, 10/22/2023 73 Years War or Dates i... Place of Death Hospital,Institution or Z City,Town or Village Johnsburg Town Street Address Elderwood at North Creek pManner of Death El Natural Cause Accident El Homicide OSuicide Undetermined El Pending U Circumstances Investigation 0ILI Medical Certifier Name Title James Hindson MD Address 112 Ski Bowl Rd,Johnsburg Town,New York 12853 Death Certificate Filed Town Of Johnsburg District Number Register Number City,Town or Village 5655 47 EBurial Date Cemetery,Crematory or Facility Name 10/24/2023 Pineview Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation d DRemoval Date Place Removed and/or and/or Held N Hold Address 0 IL Date Point of N El Transportation p by Common Shipment Carrier Destination Date Cemetery Address ❑DisintermentEl Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St,Glens Falls,New York 12801 Name of Funeral Firm Making Disposition or to Whom i— Remains are Shipped,If Other than Above 2 Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/23/2023 Registrar of Vital Statistics Jean M Comstock(Electronically Signed) (signature) District Number 5655 Place Town Of Johnsburg I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition J0!zsi yV Place of Disposition ' ?,,,,EJ-A A,1 C in►r-ITA 'sitiv., iti 2 (address) W N CC (section) (lot number) (grave number) S Name of Sexton or Person in Charge of Premi s dr.,),,...print) S .H z se W Signature c Title alpi/► a l DOH-1555(07/18)p 1 of 2 17 02 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#