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Oakes, Mary NEW YORK STATE DEPARTMENT OF HEALTH +!Vital Records Section ) Burial - Transit Permit Name First Middle Last Sex ``- Mary Kristen Oakes Female Date of Death Age If Veteran of U.S. Armed Forces, r: 10/13/2017 64 Years War or Dates Place of Death Hospital, Institution or , City, Town or Village Glens Falls Street Address Glens Falls Hospital -' Manner of Death©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined El❑Pending Circumstances Investigation - Medical Certifier Name Title Jean Vanauken PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City, Town or Village Glens Falls 5601 533 ❑Burial Date Cemetery or Crematory 10/16/2017 Pine View Crematory * ❑Entombment 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 Disinterment Date Cemetery Address Reinterment Date Cemetery Address - Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 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. 44 Date Issued 10/16/2017 Registrar of Vital Statistics 4(,6ertACurtis EJCt1VfliC4ITY SignePI t! (signature) - District Number 5601 Place Glens Falls, New York IV 444 in I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition Pi17117 Place of Disposition iinfit---, Arne fiat (address) w (section) ' (lot number) (grave number) Name of Sexton or Person in Charge of remises ✓ tivtt .� ? se print) 'Tr Signature �� 11— Title ( 0 (over) DOH-1555 (02/2004)