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Hamlin, Lawrence Edward Sr.
IiFi NEW YORK STATE DEPARTMENT OF HEALTH ' Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Lawrence Edward Hamlin Sr. Male Date of Death Age If Veteran of U.S.Armed Forces, 02/14/2024 92 Years War or Dates 1951-1954 F. Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital ILI p Manner of Death ❑^ Natural Cause Accident 0 Homicide OSuicide Undetermined ❑Pending W V Circumstances Investigation WQ Medical Certifier Name Title Melody Long PA Address 100 Park Street,Glens Falls, New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 97 Burial Date Cemetery,Crematory or Facility Name MIMI 02/17/2024 Pine View Crematorium Entombment _ Address ©Cremation Queensbury Town,New York ❑Donation OZ Removal Date Place Removed , and/or and/or Held N Hold Address 0 O. Date Point of U)❑Transportation ES 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 F. Remains are Shipped,If Other than Above 2 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/16/2024 Registrar of Vital Statistics Megan Nolin(E(ectronicalty 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 -/7 Ua`/ Place of Disposition Aie �`e-��/ ( ref W �`l� 2 (address) W N CC (section) (lotjiumb r) (grave number) SName of Sexton or Person in Charge of Premises 4-11ASDpi k.f) z - 4,47r../ (please print) �' W Signature .ji,4 Title D :34T- DOH-1555(o7/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#