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Reed, Sharon Kay NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Sharon Kay Reed Female Date of Death Age If Veteran of U.S.Armed Forces, -' 01/31/2020 59 Years War or Dates p Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital Wj3Manner of Death © Natural Cause ❑Accident Homicide Suicide Undetermined Pending U' Circumstances Investigation UJ Medical Certifier Name Title William Cleaver MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 56 Date Cemetery,Crematory or Facility Name ❑Burial rY• rY Y 02/03/2020 Pine View Crematorium Entombment Address 0 Cremation Queensbury Town,New York ❑Donation © ❑Removal Date Place Removed and/or and/or Held N Hold Address O (L Date Point of W ❑Transportation F3 by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address Reinterment Date Cemetery Address 9.%' 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 Remains are Shipped,If Other than Above Address W Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/03/2020 Registrar of Vital Statistics Robert Andrew Curtis(Electronically 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: N Z Date of Disposition 211110 Place of Disposition - f16— W, (address) W N (section) (lot number (grave number/ A o Name of Sexton or Person in Charge of Pre ' es �0 z ( ease pant/ Z W Signature Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) R; 01-3 3 2 2 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named,on burial permit Official Funeral Directors Reg.or License# f `' `"