Games, Margaret —
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NEW YORK STATE DEPARTMENT OF HEALTH .. . .
Vital Records Section Burial - Transit Permit
it Name First Middle Last Sex
M
4 argaret Games Female
. Date of Death Age If Veteran of U.S. Armed Forces,
kl 10/17/2017 89 Years War or Dates
f Place of Death Hospital, Institution or
d City, Town or Village Saratoga Springs Street Address WesleyHealth Care Center Inc
;,t, Y, 9 9
?;71 Manner of Death IX Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending
'tG
Circumstances Investigation
% Medical Certifier Name Title
t Rick Teetz MD
Address
131 Lawrence St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
w4 City, Town or Village Saratoga Springs 4501 515
Li,__,
Date Cemetery or Crematory
10/19/2017 Pineview Crematory
al:
El Entombment Address
®Cremation QueensburyTown, New York
11 Date Place Removed
"ri❑Removal
and/or Held
Lt and/or Address
Hold
Date Point of
❑Transportation Shipment
„' by Common Destination
'`:`' Carrier
El Disinterment
Date Cemetery Address
i Date Cemetery Address
, ❑Reinterment
s" Permit Issued to Registration Number
N^.° Name of Funeral Home Densmore Funeral Home Inc 00448
: Address
7 Sherman Ave,Corinth,New York 12822
Name of Funeral Firm Making Disposition or to Whom
te
Remains are Shipped, If Other than Above
Address
a „
Fa Permission is hereby granted to dispose of the human remains described above as indicated.
Et
pr Date Issued 10/18/2017 Registrar of Vital Statistics JohnTPFranck Electronicaf1ySigned'
(signature)
District Number 4501 Place Saratoga Springs, New York
6,
451
' I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
" Date of Disposition /1)/A)I f Place of Disposition '�ht 1i r i',Pr-c}foC�t _
, (address)
(section) (lot number) c (grave number)
ri:' Name of Sexton or Person in Charge of remises flra 1^44
T (p/ ase print)
r Signature d Title (iq16
+(oiler)
DOH-1555(02/2004)