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Posner, Maura Beth NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of VitaL Records Name First Middle Last Sex Maura Beth Posner Female Date of Death Age If Veteran of U.S.Armed Forces, 01/29/2020 67 Years War or Dates Ii.— Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital C) Manner of Death ©Natural Cause Accident Homicide Suicide Undetermined Pending Uj Circumstances Investigation W Medical Certifier Name Title Mikhail Mavashev MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 63 Burial Date Cemetery,Crematory or Facility Name 01/31/2020 Pine View Crematorium Entombment Address 0 Cremation Queensbury Town,New York Donation 0 Removal Date Place Removed and/or and/or Held ~N Hold Address O is Date Point of N ❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment 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 II— Remains are Shipped,If Other than Above Address W ar a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/30/2020 Registrar of Vital Statistics John Pau(Tranck(EfectronicaCCy Signer) (signature) District Number 4501 Place Saratoga Springs, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H W Date of Disposition _ pZp Place of Disposition e r k+' (*dress) W N (section) (lot num er) (grave number) O Name of Sexton or Person in Charge of Prem' es �r���G 4' W ���� O (Please print) Signature Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0 13 3 0,11 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#