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Pressly, Margaret NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Vital Records Section Name First Middle Last Sex Margaret L. Pressly Female Date of Death Age If Veteran of U.S. Armed Forces, October 7,2012 80 War or Dates Place of Death Hospital, Institution or WCity, Town or Village Glens Falls Street Address The Pines At Glens Falls tp Manner of Death g Natural Cause t Accident I 'Homicide Suicide I !Undetermined Pending Circumstances Investigation — — w Medical Certifier Name Title Suzanne Ra_yeski —--— Address HI3HN,Warrensburg,NY 12885 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 14 VV,� ❑Burial Date Cemetery or Crematory October 9,2012 Pine View Crematory Entombment Address ©Cremation Quaker Rd.,Queensbury,NY 12804 Date Place Removed Z [ Removal and/or Held and/or Address t Hold Cl) Date Point of u) I I Transportation Shipment p by Common Destination Carrier Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander-Baker Funeral Home 00035 Address 3809 Main Street,Warrensburg,NY 12885 Name of Funeral Firm Making Disposition or to Whom F- Remains are Shipped, If Other than Above 2 Address CL O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued t0 l ci1 i-z.. Registrar of Vital Statistics t/.'C)w ��y • natur'e) District Number 5601 Place Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: t-- 1 tto Date of Disposition t0 J,oiIZ Place of Disposition Rt../Ulu., Crf.440r i✓� (address) Lt.t (section) (lot number)S (grave number) pName of Sexton or Person in Charg of Premises t/it'i 1 �n�+'fr I (please print) W Signature Title Cie<T,M$4Td{Z, / (over) DOH-1555(02/2004)