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Radbourne, Barbara 31 NEW YORK STATE DEPARTMENT OF HEALTH--------, 2 Vital Records Section Burial - TransitPer it Name First Middle Last Sex Barbara Radbourne Female . Date of Death Age If Veteran of U.S. Armed Forces, 04/20/2013 80 years War or Dates No Place of Death Hospital, Institution or la-)ice own or MUM( Wilton Street Address 25 Carpenter Lane Lot#2 Manner of Death Natural Cause 0 Accident Ei Homicide 0 Suicide ri Undetermined El Pending tti Circumstances Investigation ui Medical Certifier Name Title Christopher D Hoy M. D. Address One West Medical, Saratoga Springs, NY 12866 Death Certificate Filed District Number Register Number 1af,Xrown or NIINA Wilton _ 4569 14 ❑Burial Date Cemetery or Crematory 04/23/2013 Pine View Cemetery ❑Entombment Address ©Cremation Queensbury Date Place Removed ❑Removal and/or Held am and/or Address ph Hold Date Point of fi0 Transportation Shipment iS by Common Destination Carrier Q Disinterment Date Cemetery Address []Reinterment Date Cemetery Address Permit issued to Registration Number Name of Funeral Home Compassionate Funeral Care, Inc 00364 Address 402 Maple Ave. Saratoga Springs N Y 12866 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address Cr Permission is hereby granted to dispose of the human remains describb d aboveve as indicated. Date Issued 04/23/2013 Registrar of Vital Statistics I. -/E ' v ignature) District Number 4569 Place Wilton I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Wi Date of Disposition tf-7-11-13 Place of Disposition -Ora C a tiu. (address) Iii IE (section) , (lot number) (grave number) Q Name of Sexton or Pers n in Charge of Pre ises 9/i � �# lease print) 1.1::.: Signature 174,-- Title CtiMINLO (over) DOH-1555 (02/2004) 31 NEW YORK STATE DEPARTMENT OF HEALTH L_ Vital Records Section Burial - Transit Permit Name First Middle Last Sex Barbara Radbourne Female Date of Death Age If Veteran of U.S. Armed Forces, 04/20/2013 80 years War or Dates No 1 . Place of Death Hospital, Institution or 103)CX1own or)090EX Wilton Street Address 25 Carpenter Lane Lot#2 tz Manner of Death©Natural Cause Accident Homicide 0 Suicide Undetermined El❑Pending L. Circumstances Investigation 1w Medical Certifier Name Title Christopher D Hoy M. D. pTii Address One West Medical, Saratoga Springs, NY 12866 Death Certificate Filed District Number Register Number (XI'own or YNDWJEX Wilton 4569 14 0Burial Date Cemetery or Crematory 04/23/2013 Pine View Cemetery ❑Entombment Address II 2Cremation Queensbury Date Place Removed is 0 Removal and/or Held and/or Address t Hold 0 0 Date Point of ti Transportation Shipment Et by Common Destination in Carrier Disinterment Date Cemetery Address Q Reinterment• Date Cemetery Address Permit Issued to Registration Number ni Name of Funeral Home Compassionate Funeral Care, Inc 00364 Address 402 Maple Ave. Saratoga Springs N Y 12866 • Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address U Permission is hereby granted to dispose of the human remains describ d�above as indicated. Date Issued 04/23/2013 Registrar of Vital Statistics �� y��niil G ignature) District Number 4569 Place Wilton I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: tL. Date of Disposition q-Z -(3 Place of Disposition ;, +ate C-1"46r;.... (address) III 11 (section) _ (lot number) (grave number) Name of Sexton or Pers n in Charge of Pre ises _. '✓�J' 1, Sty 1•lease print) likSignature Title C' wilgjd o� (over) DOH-1555 (02/2004)