Loading...
Capone, Lindsey Ann (LF) ,° 31 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Lindsey Ann Capone Female Date of Death Age If Veteran of U.S.Armed Forces, 12/19/2023 34 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital UJ W Manner of Death Natural Cause Accident Homicide1:1 Suicide Undetermined Ea Pending Circumstances Investigation W Medical Certifier Name Title O Timothy Murphy Coroner Address 52 Haviland Avenue,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 600 Burial Date Cemetery,Crematory or Facility Name 12/22/2023 Pine View Crematorium _Entombment Address ©Cremation Queensbury Town,New York Donation ❑Removal Date Place Removed and/or and/or Held H Hold Address 0 CL. Date Point of N 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 1— Remains are Shipped,If Other than Above Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/21/2023 Registrar of Vital Statistics Megan Wolin(ECectronica1TySigned) (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: W Date of Disposition /203-Z445 Place of Disposition /�, JP Vet,/ ere,yi ,4 av, 2 (address) W CC (section) (lot number) (grave number) SName of Sexton or Person in Charge Prue lf//Iii0 db 1410o (please print) W Signature 4"7 Title ep-e'.rAletr DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home name i$uxiA permit Official Funeral Directors Reg.or License