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Turner, Leon NEW YORK STATE DEPARTP OF HEALTH - /1502 Vital Records Section Burial - Transit Permit Name First Middle Last Sex Leon Harold Turner Male Date of Death Age If Veteran of U.S. Armed Forces, 11/04/2018 94 Years War or Dates 1942-1945 f:..: Place of Death Hospital, Institution or Z City, Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death©Natural Cause 0 Accident 0 Homicide Suicide El Undetermined ri Pending 111 Circumstances Investigation W Medical Certifier Name Title D Mathew Varughese DO Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City, Town or Village Glens Falls 5601 519 ❑Burial Date Cemetery or Crematory 11/06/2018 Pine View Crematory ❑Entombment Address ®Cremation Queensbury Town, New York Date Place Removed Z Removal and/or Held 9Ljand/or Address N Hold O Date Point of NL.jr--1Transportation Shipment a by Common Destination Carrier Disinterment Date Cemetery Address n Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward,New York 12828 Name of Funeral Firm Making Disposition or to Whom I— Remains are Shipped, If Other than Above MEM 2 Address Ce W 0. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/06/2018 Registrar of Vital Statistics 96ertA Curtis(fectronica[fySigned) (signature) District Number 5601 Place Glens Falls, New York I,, I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z p /� W Date of Disposition Of(f g Place of Disposition P� 6. rp-- M 'ddress) W N Lt (section) (lot number) R (grave number) pName of Sexton or Person in Charge of Premises �t-bt �l...Nlff Z (please print) ��11 W. Signature & "4"... Title dig / _ (over) DOH-1555 (02/2004)