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Tranowicz, Amy Marie t it 1gLj NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Amy Marie Tranowicz Female Date of Death Age If Veteran of U.S.Armed Forces, 02/14/2024 42 Years War or Dates ZPlace of Death Hospital,Institution or 1!J City,Town or Village Hudson Falls Village Street Address 221 Main Street 1 S, Hudson Falls Village,New York 12839 Manner of Death Li Natural Cause Accident Ei Homicide Suicide ❑Undetermined Pending GW Circumstances Investigation Medical Certifier Name Title Vicky Campbell Coroner Address 1517 COUNTY RTE 31,Granville,New York 12832 Death Certificate Filed Village Of Hudson Falls District Number Register Number City,Town or Village 5726 8 Burial Date Cemetery,Crematory or Facility Name 02/17/2024 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation goRemoval Date Place Removed and/or and/or Held pN Hold Address 0 a Date Point of ❑Transportation 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 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/16/2024 Registrar of Vital Statistics Cynthia Bardin(ECectronically Signed) (signature) District Number 5726 Place Village Of Hudson Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition 2 i 1 j Zq Place of Disposition rirf�F:J (P d1a 1r a 2 (address) W CO ♦C (section) fy number) (grave number) Name of Sexton or Person in Charge of Premises I ' (please p bt) W Signature TitleCPrrevxnto DOH-1555(07/18)p 1 of 2 r � t 4_ L.. �en, Public Health Law Sec. 4145(2b) I Receipt Human remains of delivered on _, 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#