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Strazzi, Judithda NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Female Judith Ann Strazzi Date of Death 10/15/2019 Place of Death City, Town or Villae Mannerof Death Medical Certifier Age 74 Years Glens Falls If Veteran of U.S. ied Forces, War or Dates © Natural Cause 0 Accident Name Stephen Perazzelli Address 100 Park St, Glens Falls, New York 12801 Death Certificate Filed City, Town or Villae Glens Falls Burial Date Cemetery, 10/16/2019 Pine Vie\ Entombment Address Cremation Queensbury Town, New York Donation Removal Date Plac and/or an' �r - Hold Address Date Poi -it o+ Transportation Shipme by Common Carrier Destination �d iospital, Institution or street Address Glens Falls Hospital Homicide Suicide Undetermined Pending Circumstances Investigation District Number 5601 ory or Facility Name .atory Date Cemetery Address Disinterment Date Cemetery Address Reinterment Permit Issued to Name of Funeral Home M B Kilmer Funeral Home -Fort Edward 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 Title MD Register Number 448 Registration Number 01079 Permission is hereby granted to dispose of the human remains described above as indicated. 10/16/2019 Re istrar of Vital Statistics `Robert Andrew Curtis (ECectronically Signed) Date Issued g (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: Date of Disposition to CIS Place of Disposition �'' `Le � r,• Name of Sexton or Person in Charge of Premises Signature NTitle (grave DOH-1555 (07/18) p 1 of 2 Public Health Law Sec. 4145(2b) 013004 Receipt Human remains of _ Pine View Cemetery Official delivered on , 20 Representing the funeral home named on burial permit Funeral Directors Reg. or License #