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Schnabel, Lynn ih, # -21j, NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Burial - Transit Permit Name First Middle Last Sex Lynn Rachel Schnabel Female Date of Death Age If Veteran of U.S. Armed Forces, '', 10/24/2017 62 Years War or Dates -. Place of Death Hospital, Institution or City, Town or Village Glens Falls Street Address Glens Falls Hospital a Manner of Death©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined El❑Pending ILI Circumstances Investigation W Medical Certifier Name Title Id Scott Biasetti MD Address 100 Park St,Glens Falls,New York 12801 ,: Death Certificate Filed District Number Register Number City, Town or Village Glens Falls 5601 548 ['Burial Date Cemetery or Crematory 10/25/2017 Pine View Crematorium ❑Entombment Address fl®Cremation Queensbury Town, New York Date Place Removed - ❑Removal and/or Held - and/or Address = Hold AU Date Point of co❑Transportation Shipment G by Common Destination Carrier ❑Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Stpo Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom F_ Remains are Shipped, If Other than Above Address te uJ a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/25/2017 Registrar of Vital Statistics P&6ertACurtis ECectronicafTySigned (signature) District Number 5601 Place Glens Falls, New York F- I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z r� ILI Date of Disposition ID in In Place of Disposition f,,,tii.,,.. ,�,,,��,} ;0 r►.. W (addr''ess)I LA m (section) (lot number) (grave number) a Name of Sexton or Person in Charge of Pre ises A r•t Y' ��''��6 Z (pl ase print) Signature if Title L 117612- (over) DOH-1555 (02/2004)