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Bigelow, Marne Elizabeth #� 1p NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Marne Elizabeth Bigelow I Female Date of Death Age If Veteran of U.S.Armed Forces, 02/08/2020 72 Years War or Dates F,. Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death © Natural Cause ❑Accident Homicide Suicide Undetermined Pending W Circumstances Investigation U W Medical Certifier Name Title Kasandra Frasier PA Address 100 Park St,Glens Falls, New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls i 73 Burial Date Cemetery,Crematory or Facility Name 02/11/2020 Pine View Crematory Entombment Address X Cremation Queensbury Town,New York El Donation Z Removal Date Place Removed O and/or and/or Held H N Hold Address aDate Point of N FITransportation Shipment p by Common Carrier Destination El Disinterment Date Cemetery Address Date Cemetery Address Reinterment Registration Number Permit Issued to Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward,New York 12828 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address W ---- a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/11/2020 Registrar of Vital Statistics w9bertArafrew Curtis(E(ectronicaCfySigned) -- (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: H itZ Date of Disposition 21131,10 Place of Disposition lrl�— W (address) M W N (section) (tot number) (gra ve number) � c Name of Sexton or Person in Charge of Premi es e Q (Aease print Z W Signature _.____.. Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 013335 Receipt Human remains of r ` i j °, ' ' '` delivered on i , 2a-,— Pine View Cemetery Representing the funeral home named on burial permit official Funeral Directors Reg.or License# X%