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Hunter, Margaret ft IQ-3 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Vital Records Section Name First Middle Last Sex Margaret _ Hunter Female Date of Death Age If Veteran of U.S. Armed Forces, April 4, 2013 77 War or Dates 14 Place of Death Hospital, Institution or W City, Town or Village Glens Falls Street Address Glens Falls Hospital n Undetermined ❑ Pending W Manner of Death X Natural Cause Accident El Homicide ❑ Suicide ❑ � Circumstances Investigation la Medical Certifier Name CI �� G{� ��n 1 Title 11 o Address 3.1L M ,1J cr W iARP sq0 i 4 J Death Certificate Filed �J District Number Register Number City, Town or Village Cie 0 - tU 5601 n ❑Burial Date Cemetery or Crematory April 8, 2013 Pine View Crematorium 0 Entombment Address „,®Cremation Quaker Road Queensbury,NY 12804 Date Place Removed z El Removal and/or Held D and/or Address F- Hold Pine View Crematorium 0 Date Point of d. ❑Transportation Shipment (0 by Common Destination G Carrier Date Cemetery Address ❑ Disinterment Date Cemetery Address ❑ Reinterment Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home, Inc. 00281 Address Carleton Funeral Home, Inc. 68 Main St., P. O. Box 67 Hudson Falls, NY 12839 Name of Funeral Firm Making Disposition or to Whom }- Remains are Shipped, If Other than Above 2 Address W IL: Permission is hereby ranted to dispose of the human remains descr d bov s i y,p'_ fed. 0�2©/.3 Registrar of Vital Statistics Date Issued / , ,Cr (signature) District Number 5601 Place (/t', AV/S, i2$ /2J1/ I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: w Date of Disposition Ill""t� Place of Disposition ,,./ «: 'r m dnior- (address) W GO Ce (section) (lot number) (grave number) O r of Premises "' St""fl O Name of Sexton or Person in Cha Charge (please print) W1 Signature �` `- Title Cl� t�nrir;;� (over) DOH-1555 (02/2004)