Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Lyons, Audrey E
# Z cg NEWYORKSTATEDEPARTMENTOFHEALTH CLF Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Audrey E.Lyons Female Date of Death Age If Veteran of U.S.Armed Forces, 03/12/2024 87 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Fort Edward Town Street Address Fort Hudson Nursing Center Inc p Manner of Death ❑X Natural Cause illAccident ❑Homicide Suicide Undetermined nPending Circumstances tt 'Investigation W Medical Certifier Name Title C3 Elizabeth Bessette NP Address 319 Broadway,Fort Edward Town,New York 12828 Death Certificate Filed Town Of Fort Edward District Number Register Number City,Town or Village 5755 19 ElBurial Date Cemetery,Crematory or Facility Name 03/13/2024 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation ❑Removal Date Place Removed and/or and/or Held F— Hold Address N 0 d Date Point of Cl) Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address EIReinterment 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 H Remains are Shipped,If Other than Above .5 Address IC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/13/2024 Registrar of Vital Statistics Aimee L Mahoney(Electronically Signed) (signature) District Number 5755 Place Town Of Fort Edward I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— fjri _cc..) `Date of Disposition 3I I4 ?� Place of Disposition L i h.1(address) W CC CC (section) (l umber) (grave number) GName of Sexton or Person in Charge of P .ses e' i Sw1ik Z (please hint) W Signature Title ��" r11� DOH-1555(07/18)p 1 of 2