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Murphy, Barbara Lois #- 8L NEW YORKSTATE DEPARTMENT OF HEALTH , Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Barbara Lois Murphy Female Date of Death Age If Veteran of US.Armed Forces, 01/26/2020 86 Years War or Dates f.. Place of Death Hospital.Institution or Z City,Town or Village Chester Town Warren---] Street Address 1319 Friends Lake Road,Chester Town Warren,New York 12817 p Manner of Death ©Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title Suzanne Bergin DO Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Villa a Chestertown 5652 2 Burial Date Cemetery,Crematory or Facility Name 01/28/2020 Pine View Crematoruim Entombment Address Cremation Queensbury Hamlet,New York Donation Z Removal Date Place Removed and/or and/or Held F-N Hold Address iO Date Point of U) Transportation Shipment Q by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address 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 Remains are Shipped,If Other than Above Address IM W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/27/2020 Registrar of Vital Statistics 911indy Conway(ECectronwaaysigner) (signature/ District Number 5652 Place Chestertown, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WDate of Disposition 1179110 Place of Disposition �„ «Ρ-4 � re.� uj (address) W Q (section) �Aot number) (grave number) 8 Name of Sexton or Person in Charge of Premises SUM Al ./�-W (P se print) W Signature Title t DOH-1555(o7/18)p t of 2 Public Health Law Sec. 4145(2b) -3 2,q� Receipt Human remains of f f " ' f ';' delivered on , 201,2r Pine View Cemetery Rep rating fhe funeral home named on burial permit Official Funeral Directors Reg.or License# , .