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AuClaire, Esther V
NEW YORK STATE DEPARTMENT OF HEALTH OLF Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Esther V.AuClaire Female Date of Death Age If Veteran of U.S.Armed Forces, 03/09/2024 96 Years War or Dates F., Place of Death Hospital,Institution or Z City,Town or Village Johnsburg Town Street Address Elderwood at North Creek WW Manner of Death IZ Natural Cause Accident ❑Homicide ESuicide Undetermined ❑Pending U Circumstances Investigation WO Medical Certifier Name Title Wendy Steinhacker PA Address 112 Ski Bowl Rd,Johnsburg Town,New York 12853 Death Certificate Filed Town Of Johnsburg District Number Register Number City,Town or Village 5655 14 HBurial Date Cemetery,Crematory or Facility Name 03/12/2024 Pine view Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 d. Date Point of (!)❑Transportation la Common Shipment Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address I I Reinterment Permit Issued to Registration Number Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141 Address 9 Pine St,Chestertown,New York 12817 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above N Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/11/2024 Registrar of Vital Statistics Jean M Comstock(ECectronun1Ty Signed) (signature) District Number 5655 Place Town Of Johnsburg I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— Z Date of Disposition 3112.121i Place of Disposition r;tr{,4 (N, .enATPC1.LA--- 2 (address) W U) ft (section) (lot numb (grave number) SName of Sexton or Person in Charge of Pre .ses ` Z :,7' , (please pri W Signature E Title nqF DOH-1555(07/18)p 1 of 2 ' J Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20t Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#