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Felix, Barbara Ann
# I2 NEW YORKSTATE DEPARTMENT OF HEALTH . _ .. Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Barbara Ann Felix Female Date of Death Age If Veteran of U.S.Armed Forces, 10/06/2020 78 Years War or Dates F- Place of Death Hospital,Institution or HCity,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare p Manner of Death © Natural Cause ❑Accident ❑Homicide 0 Suicide Undetermined ❑Pending W U Circumstances Investigation W Medical Certifier Name Title 0 Leonard Gelman MD Address 4573 State Route 40,Argyle Town,New York 12809 Death Certificate Filed District Number Register Number City,Town or Village Argyle 5750 38 ❑Burial Date Cemetery,Crematory or Facility Name 10/08/2020 Pine View Crematory ElEntombment Address ®Cremation Queensbury Town,New York Donation Z ❑Removal Date Place Removed and/or and/or Held CO Address 0 0.. Date Point of to Li Transportation Shipment 5 by Common Carrier Destination El Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom F Remains are Shipped,If Other than Above '2 Address I W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/08/2020 Registrar of Vital Statistics She1Tey Ltckernon(ECectronicalTy Signed) (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: F /...4„,____ W Date of Disposition NO /70 Place of Disposition R V!S) g U CC (section) (lot number) ' (grave number) Q Name of Sexton or Person in Charge of Pre ises fro `S�1nMH' p (pte a print) z III fi7A441 Signature �' Title DOH-1555(o7/i8)p 1 of 2 Public Health Law Sec. 4145(2b) 0 4 0 4 Receipt Human remains of delivered on , 20 ' 4 4 \ Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# Fa /