The URL can be used to link to this page

French, Beverly M 11 'LZ NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Beverly M.French Female Date of Death Age If Veteran of U.S.Armed Forces, 02/06/2024 85 Years War or Dates 1_ Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital tp Manner of Death Natural Cause lijAccid El ent Suicide Undetermined []Pending Circumstances II ''Investigation WMedical Certifier Name Title CI Mark Weidner MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 85 Burial Date Cemetery,Crematory or Facility Name 02/12/2024 Pineview Crematory []Entombment Address ©Cremation Queensbury Hamlet,New York Donation 0 Removal Date Place Removed and/or and/or Held N Hold Address 0 d Date Point of U)oTransportation p by Common Shipment Carrier Destination []Disinterment Date Cemetery Address El 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 I— Remains are Shipped,If Other than Above Address CC W C' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/09/2024 Registrar of Vital Statistics Dlion Moran gkctranicati5 S/ned (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: ‘ Date of Disposition 2 S 79 Place of Disposition ; ,2 (address) W N CC (section) (lot number) (grave number) 0 Name of Sexton or Person in Charge of es ritr,A Z ease print/ IL Signature Title VVVVVV �� DOH-1555(07/18)p t of 2 1 7 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#