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Strodel, Gail S. r_ A 32 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Gail S.Strodel Female Date of Death Age If Veteran of U.S.Armed Forces, 12/31/2019 72 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Warrensburg Town Street Address 744 Schroon River Road,Warrensburg Town,New York 12885 ,p Mannerof Death ❑ Natural Cause ©Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending Circumstances Investigation W Medical Certifier Name Title Connie Goedert Coroner Address 1400 St Route 9,Lake George Town,New York 12845 Death Certificate Filed District Number Register Number City,Town or Villa a Albany 8888 ❑Burial Date Cemetery,Crematory or Facility Name 01/10/2020 Pine View Crematory ❑Entombment Address low 1 Cremation Queensbury Town,New York ❑Donation z ❑Removal Date Place Removed and/or —7and/or Held H N Hold Address O IL Date Point of UA ❑Transportation Shipment p by Common Carrier Destination ❑Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition orto Whom F.. Remains are Shipped,If Other than Above Address to C' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/09/2020 Registrar of Vital Statistics MaryE.7fefiwr(EfectronicaffySiyned) (signature) District Number 8888 Place Albany, 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 110 I zo Place of DispositionUj 6�•fiGn._ Uj (address) W U) (section) ( tnumber) (grave number) 8 Name of Sexton or Person in Charge of Premi es Z (pleas print) W Signature Title DO H-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 013226 Receipt Human remains of delivered on ,' , 20 Pine View Cemetery Represedifijitheliineial home named on burial permit Official Funeral Directors Reg.or License#�' i I i