Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Towers, Beverly E
(4I ') /0`4L- NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Beverly E Towers Female Date of Death Age If Veteran of U.S.Armed Forces, 12/26/2023 86 Years War or Dates .. Place of Death Hospital,Institution or GCity,Town or Village Corinth Village Street Address 23 Raymond Street,Corinth Village,New York 12822 Manner of Death Natural Cause ❑Accident Homicide nSuicide Undetermined ❑Pending QW Circumstances Investigation Medical Certifier Name Title Eileen Spinelli NP Address 13 Palmer Avenue,Corinth Village,New York 12822 Death Certificate Filed Town Of Corinth District Number Register Number City,Town or Village 4553 24 Burial Date Cemetery,Crematory or Facility Name 12/27/2023 Pineview Crematory Entombment Address ©Cremation Queensbury Town,New York Donation 0❑Removal Date Place Removed and/or and/or Held Hold Address 0 O. Date Point of N❑Transportation p by Common Shipment Carrier Destination ElDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom -. Remains are Shipped,If Other than Above 2 Address W d Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/27/2023 Registrar of Vital Statistics Brenda L Penis(Electronically Signed) (signature) District Number 4553 Place Town Of Corinth I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition /Zj,�'Zc,C 3 Place of Disposition e;4.)e C;Yri c- .. (address) W N CC (sect' (lot number) (grave number) SName of Sexton or Person in Charge of Prem. Z / (please print) W Signature ` ```1 Title p�' DOH-1555(o7/t8)p t of 2 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#