McNamara, Patricia NEW YORK STATE DEPARTMENT OF HEALTH f lb
Vital Records Section Burial - Transit Permit
, -. Name First Middle Last Sex
Patricia McNamara Female
Date of Death Age If Veteran of U.S. Armed Forces,
April 2,2014 67 War or Dates
1 Place of Death Hospital, Institution or
City, Town or Village Warrensburg Street Address 8B Sanford Street
iti Manner of Death X Natural Cause Accident Homicide Suicide Undetermined Pending
Circumstances Investigation
Medical Certifier Name Title
:q Eric Pillemer MD
Address
';E'l CR Wood Cancer Center,Glens Falls,NY 12801
=5 Death Certificate Filed District Number Register Number
x, City, Town or Village Warrensburg 5660
El Burial Date Cemetery or Crematory
04/04/2014 Pine View Crematory
0 Entombment Address
®Cremation 21 Quaker Rd., Queensbury, NY 12804
Date Place Removed
Z Removal and/or Held
52 and/or Address
H Hold
Cl)
O Date Point of
co Transportation Shipment
a by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
---e Permit Issued to Registration Number
r Name of Funeral Home Alexander-Baker Funeral Home 00037
Address
3809 Main Street,Warrensburg,NY 12885
{4 Name of Funeral Firm Making Disposition or to Whom
} Remains are Shipped, If Other than Above
E Address
=::: Permission is hereby/ ranted to dispose of the human rem 'ns escribed above as indicated.
/
Date Issued �j�U� 02(/�`�'� Registrar of Vital Statisti Z- C-- '.C�(` � / .L
ignature)
District Number 5660 Place Warrensburg
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
iii• Date of Disposition Place of Disposition et4E414., C.4-oft...
(address)
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CL (section) .•
(lot num (grave number)
pName of Sexton or Person in harge of Pr miser • iz4
Z ( lease print)
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Signature r',- Title L k.ivlitiF�
(over)
DOH-1555 (02/2004)