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Seidel, Margaret
NEW YORKSTATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Margaret L Seidel Female Date of Death Age Ifete Vran of U.S. Armed Forces, 10/17/2019 92 Years I War or Dates Place of Death Hospital, Institution or W City, Town or Village Glens Falls Street Address Glens Falls Hospital J3 Mannerof Death © Natural Cause Accident Homicide Suicide Undetermined Pending V Circumstances Investigation Q Medical Certifier Name Title Abigail Macomber PA Address 100 Park St, Glens Falls, New York 12801 Death Certificate Filed District Number Register Number City, Town or Village Glens Falls 5601 453 Burial Date Cemetery, Crematory or Facility Name Entombment 10/18/2019 Pineview Crematorium Address Cremation Queensbury Town, New York Donation 0 Removal Date Place Removed and/or and/or Held ~ Hold Address N O Cl) ❑ Transportation Date Point of p by Common Shipment Destination Carrier Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St, Glens Falls, New York 12801 Name of Funeral Firm Making Disposition orto Whom H Remains are Shipped, If Otherthan Above 2 Address Ir W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/18/2019 Registrar of Vital Statistics �Rg6ert,4ndrew Curtis (ECectronicaCCy Signed) (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: ZW Date of Disposition �D L j � � Place of Disposition �� n�—.• 2 address/ W N (section) (lot number) (grave number) SName of Sexton or Person in Charge of remises f ►"'� Z /pl a print/ lL Signature Title DOH-1555 (07/18) D 1 of 2 Public Health Law Sec. 4145(2b) 313011 Receipt Human remains of delivered on 20/r Pine View Cemetery RepresentingihEgn home name ermit ef!. 0 Official Funeral Directors eg. or License