Loading...
Pyle, Kathleen Margaret _ # If NEW YORKSTATE DEPARTMENTOF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Kathleen Margaret-Pyle Female Date of Death Age If Veteran of U.S.Armed Forces, 01/12/2020 77 Years War or Dates Hospital,Institution or II.— Place of Death Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital Wp Manner of Death © Natural Cause Accident Homicide Suicide Ej Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title Heather Madigan DO Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 28 Burial Date Cemetery,Crematory or Facility Name 01/14/2020 Pine View Crematory Entombment Address X❑Cremation Queensbury Town,New York Donation Z Removal Date Place Removed and/or and/or Held ~ Hold Address N aDate Point of N Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address JE]Reinterment 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 H Remains are Shipped,If Other than Above Address W (L Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/13/2020 Registrar of Vital Statistics 9okn 4'auC(Franck(ECectronicallySigned) (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: Z Date of Disposition ( S 70 Place of Disposition '►1rtVu" LU (address) 2 W U (section) (lot number) (grave number) O Name of Sexton or Person in Charge of Pre '' es 1, µi8t Z (p!' se print) W Signature �/�` Title DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) �. 013244 Receipt �A Human remains of delivered on , 20� Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# ,.