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Benoit, Janet Eleanor
e Pf 0 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First MiSldle Last Sex Janet Eleanor Benoit Female Date of Death Age If Veteran of U.S.Armed Forces, 11/04/2023 84 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pManner of Death ❑X Natural Cause Accident Homicide 0Suicide nUndetermined FlPending 0 I—ICircumstances Investigation W Medical Certifier Name Title G Kelly Maley PA 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 517 Burial Date Cemetery,Crematory or Facility Name - -— - - --- -E 11/06/2023 Entombment Address Pine View Crematorium ©Cremation Queensbury Town,New York ❑Donation ZZ❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 O. Date Point of t/)❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address 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 Fa. Remains are Shipped,If Other than Above 2 Address CC Ill C' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/06/2023 Registrar of Vital Statistics Megan No(in(E(ectronica((y 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: I— Z Date of Disposition II jf(I-7; Place of Disposition CI..eN'yj 6k%E o jd W /h es.U r� 2 (address) W U) Q (section) J(lot number) c (grave number) 0 Name of Sexton or Person in Charge of Pjemises r �.► c--dMnNlf Z e(" /glee print/W Signature / Title 1 1414 it? DOH-1555(o7/18)p 1 of 2 ' ~ } 1..7 4 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#