Reid, Margaret Florence NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Margaret Florence Reid 7Female
Date of Death Age If Veteran of U.S.Armed Forces,
01/29/2020 96 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Queensbury Town Street Address 39 Longview Drive Apt 126,Queensbury Town,New York 12804
Q Manner of Death ❑X Natural Cause Accident Homicide Suicide Undetermined Pending
V Circumstances Investigation
GMedical Certifier Name Title
Mary Stein NP
Address
9 Carey Road,Queensbury Town,New York 12804
Death Certificate Filed
D FDistrict Number Register Number
City,Town or Village Queensbury 5657 15
❑Burial Date Cemetery,Crematory or Facility Name
01/30/2020 Pine View Crematory
Entombment Address
KCremation Queensbury,New York
11 Donation
Removal Date Place Removed
O and/or and/or Held
F—M Hold Address
O
IL Date Point of
0) ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
EiReinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596
Address
407 Bay Rd,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
IH Remains are Shipped,If Otherthan Above
:E Address
W
W
IL Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 01/30/2020 Registrar of Vital Statistics CaroCrnexfdegarde B-der(EYertro--- Sy e�!/
(signature)
District Number 5657 Place Queensbury, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z
Date of Disposition 31 I lU Place of Disposition d./
W n..�
W (address)
W
w (section) (tot numbe (grave number)
8 Name of Sexton or Person in Charge of remises A.
Z 1 (p se print
W Signature Titles'„
DOH-1555(07/18)p t of 2
Town of Queensbury
Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Margaret Reid
were cremated on .January 31 20 20 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death January 29 2020 Age 96
(Month) (Day)
Funeral Home Singleton Sullivan Potter Registered No. 105
(Authorized Signature)
Public Health Law Sec. 4145(2b) 0 13 0 0
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#