Loading...
Curry, Kathleen NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Burial - Transit Permit Name First Middle Last Sex • Kathleen M.Curry Female • Date of Death Age If Veteran of U.S. Armed Forces, 03/15/2018 61 Years War or Dates Place of Death Hospital, Institution or City, Town or Village Ilion Village Street Address Mohawk Valley Health Care Center • Manner of Death© Natural Cause ID Accident Li Homicide El Suicide Undetermined n Pending Circumstances Investigation Medical Certifier Name Title Virendra Sharma MD Address • 99 6th Ave, Ilion Village, New York 13357 510- Death Certificate Filed District Number Register Number City, Town or Village Ilion 2101 020 ❑Burial Date Cemetery or Crematory 03/16/2018 Pine View Crematory ❑Entombment Address ®Cremation Queensbury Town, New York L. Date Place Removed °❑Removal and/or Held and/or Address Hold Date Point of ❑Transportation Shipment by Common Destination Carrier • El Disinterment Date Cemetery Address Reinterment Date Cemetery Address • Permit Issued to Registration Number Name of Funeral Home Miller Funeral Home 01199 Address • 6357 Nys Rte#30, Indian Lake,New York 12842 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 03/16/2018 Registrar of Vital Statistics Laura ladore(EfectronicaflySigned) (signature) District Number 2101 Place Ilion, New York nt I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition 4 I 1 j I' Place of Disposition 'EL, t Ur (address) (section) A (lot numb (grave number) : Char Name of Sexton or Person inge ofyremises tit.Ili- 41 (please print) Signature ,..,,,4 Title N6494 (over) 1 DOH-1555 (02/2004)