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Updike, Karen -41 NEW YORK STATE DEPARTMENT OF HEALTH Z' Vital Records Section BuriaI - Transit Permit Name First Middle Last Sex Karen Lynn Updike Female • Date of Death Age If Veteran of U.S. Armed Forces, 03/27/2018 61 Years War or Dates Place of Death Hospital, Institution or City, Town or Village Saratoga Springs Street Address Saratoga Hospital • Manner of Death©Natural Cause 0 Accident 0 Homicide 0 Suicide EiUndetermined �Pending Circumstances Investigation Medical Certifier Name Title Mark Weidner MD Address 211 Church St,Saratoga Springs,New York 12866 • Death Certificate Filed District Number Register Number City, Town or Village Saratoga Springs 4501 198 • 0Burial Date Cemetery or Crematory 03/30/2018 Pine View Crematory ['Entombment Address ®Cremation Queensbury Town, New York Date Place Removed ❑Removal and/or Held and/or Address• Hold „.ak< Date Point of 0 Transportation Shipment by Common Destination Carrier Q 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 or to Whom Remains are Shipped, If Other than Above :Md Address Al Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/29/2018 Registrar of Vital Statistics Sohn Q)IFranck(ECectronica1 ysignea) (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: Date of Disposition 113 I g Place of Disposition (,,, (v__, (address) (section) (lot number) (` (grave number) • Name of Sexton or Person in Charge of Premises �4rr, J r,.,1 It (p/ se print) Signature *[j Title C1�E4�bj (over) DOH-1555(02/2004)