Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
French, Lori A
NEW YORKSTATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Lori A.French Female Date of Death Age If Veteran of U.S.Armed Forces, 02/28/2024 53 Years War or Dates F Place of Death Hospital,Institution or Z City,Town or Village Warrensburg Town Street Address 19 Sanford Street 13,Warrensburg Town, New York 12885 ILI 0 Manner of Death ElNatural Cause Accident ❑Homicide El Suicide ❑Undetermined Pending UJ Circumstances li=i Investigation W Medical Certifier Name Title L Paul Bachman MD Address 3767 Main Street,Warrensburg Town, New York 12885 Death Certificate Filed Town Of Warrensburg District Number Register Number City,Town or Village 5660 4 Burial Date Cemetery,Crematory or Facility Name 03/02/2024 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 a. Date Point of U)ETransportation Cl Common Shipment Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address Reinterment Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 5 Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/29/2024 Registrar of Vital Statistics Pamela M Lloyd(E(ectronica((y Signed) (signature) District Number 5660 Place Town Of Warrensburg I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— Z Date of Disposition 3 i b(Z y Place of Disposition Fadfh*r,,,i Getino vvrA,.. 2 (address) W NCC (section) d(lot number/ (grave number) gName of Sexton or Person in Charge of Pre)es es r. L it Z (p a se print) w Signature Title DOH-1555(07/18)p 1 of 2 v ` i ej „ r 1 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#