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Neumann, Judy Lee
.. NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Judy Lee Neumann Female Date of Death Age If Veteran of U.S.Armed Forces, 05/01/2020 75 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address Glens Falls Hospital W Manner of Death NaturalCause Accident Homicide Suicide Undetermined ❑Pending � Circumstances Investigation W 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 196 ❑Burial Date Cemetery,Crematory or Facility Name 05/04/2020 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation Z Removal Date Place Removed Q and/or and/or Held F-N Hold Address O IL Date Point of N Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address Reinterment I Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom II— Remains are Shipped,If Other than Above Address W C" Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/04/2020 Registrar of Vital Statistics Wpbert,4ndrew Curtis(ECectronicaCCy Signed) (signature) District Number 5601 Place Glens Falls, New York I certify thatthe remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition 'SAS/-2QZy Place of Disposition Q'v e Q / ess f W U) /section) (lot number) (grave number) W 8 Name of Sexton or Person' ha of Premises (please print) W Signature Title DO H-1555(07/18)p t of 2 Public Health Law Sec. 4145(2b) J.. °Y Receipt Human remains of delivered on , 20 i 1 1 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# 1