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Batcher, Freya Gail ,, .jtgoa NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Freya Gail Batcher I Female Date of Death Age If Veteran of U.S.Armed Forces, 11/23/2019 2 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pMannerof Death Natural Cause Accident Homicide Suicide Undetermined ©Pending W Circumstances Investigation W Medical Certifier Name Title G Terry Comeau Coroner Address 1400 St Route 9,Lake George Town,New York 12845 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 507 Burial Date Cemetery,Crematory or Facility Name 12/02l2019 Pine View Crematory ❑Entombment Address XJ Cremation Queensbury Town,New York ElDonation Z Removal Date Place Removed Pand/or and/or Held N Hold Address IL Date Point of U! Transportation Shipment $ by Common Carrier Destination Disinterment Date Cemetery Address [��ierment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom IH Remains are Shipped,If Otherthan Above N Address W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/26/2019 Registrar of Vital Statistics qZq6ert,4ndrew Curtis(ECectronically Signed) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition Place of Disposition '" -- W (address) W (section/ pot num (grave number/ Name of Sexton or Person in Charge of Premises alr Z (P/ease print)/� ke W Signature 6,f' Title ` M DOH-1555(07/18)p t of 2 f Public Health Law Sec. 4145(2b) ' ?,3 IL 9;,1 Receipt Human remains of delivered on `, 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#