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Ruhle, Barbara it 5 NEW YORK STATE DEPARTMENT OF HEAL1fi Vital Records Section Burial - Transit Permit Name First iddle Last Sex Barbara Jane Ruhie Female Date of Death Age If Veteran of U.S. Armed Forces, 12/29/2018 58 Years ,.fir or Dates Place of Death Hospital, Institution or City, Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare Manner of Death©Natural Cause ❑Accident Homicide Suicide ❑Undetermined ri Pending Circumstances Investigation Medical Certifier Name Title Edit Masaba MD Address 4573 State Route 40,Argyle Town,New York 12809 Death Certificate Filed District Number Register Number City, Town or Village Argyle 5750 40 ❑Burial Date Cemetery or Crematory 01/02/2019 Pine View CrematoryEntombment Address ®Cremation Queensbury Town, New York Date Place Removed ❑Removal and/or Held and/or Address Hold Date Point of Transportation Shipment by Common Destination Carrier Date Cemetery Address El Disinterment 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 Remains are Shipped, If Other than Above Address Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/02/2019 Registrar of Vital Statistics Shelley tickernon(ECectronica1TySigned) (signature) District Number 5750 Place Argyle, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition 1-3 -I' Place of Disposition ',`tit \/t A V (c2p,i. ,-.",, (address) (section) lot number) (grave number) M Name of Sexton or Person in Charge of Premises / (please print) Signature 77 /( Title f{�" (over) DOH-1555 (02/2004)