Bahr, Barbara NEW YORK STATE DEPARTMENT OF HEALTH.
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Barbara Frances Bahr Female
Date of Death Age If Veteran of U.S. Armed Forces,
07/02/2018 88 Years War or Dates
Place of Death Hospital, Institution or
City, Town or Village Saratoga Springs Street Address Saratoga Hospital
Manner of Death j Natural Cause 0 Accident ❑Homicide 0 Suicide El Undetermined ri Pending
Circumstances Investigation
Medical Certifier Name Title
Carlos Ares MD
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City, Town or Village Saratoga Springs 4501 369
• ❑Burial Date Cemetery or Crematory
07/02/2018 Pine View Crematory
❑Entombment Address
®Cremation Queensbury Town, New York
Date Place Removed
Removal and/or Held
and/or Address
Hold
Date Point of
ip0Transportation Shipment
by Common Destination
• Carrier
• Disinterment Date Cemetery Address
4,1
Renterment 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
04
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/02/2018 Registrar of Vital Statistics John 4'F'ranck(E(ectronica1TySigned)
(signature)
• District Number 4501 Place Saratoga Springs, New York
r el
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Tb Date of Disposition 714(tg Place of Disposition ?,-,, � j(I r- ---
(address)
fiT
(section) (lot wmber) r (grave number)
Name of Sexton or Person in Charge of Premises i
,l l (please p int)
Signature "` 4- Title ` i "-
(over)
DOH-1555 (02/2004)