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Papps, Laura Mae
1148 NEW YORKSTATE DEPARTMENT OF HEALTH _ _ Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Laura Mae Papps Female Date of Death Age If Veteran of U.S.Armed Forces, 10/24/2020 72 Years War or Dates ZPlace of Death Hospital,Institution or W City,Town or Village Fort Edward Town Street Address 376 County Route 43, Fort Edward Town,New York 12828 p Manner of Death © Natural Cause 0 Accident 0 Homicide ❑Suicide ❑Undetermined ❑Pending WI U Circumstances Investigation tiff 1 Medical Certifier Name Title William Borgos MD Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village Fort Edward 5755 92 Burial Date Cemetery,Crematory or Facility Name 10/27/2020 Pine View Crematory 0 Entombment Address 0 Cremation Queensbury Town,New York ❑Donation Z Ei Removal Date Place Removed 2, and/or and/or Held Hold Address 0 0- Date Point of U) U Transportation ES by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom F- Remains are Shipped,If Other than Above Address I W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/27/2020 Registrar of Vital Statistics Aimee Wahoney(ECectronicalTySigned) (signature) District Number 5755 Place Fort Edward, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H Date of Disposition 10'Z'1 ha Place of Disposition 2L. ��.A-c„..„ (address) W N CC (section) At number) umb r) (grave number) c, ik, SA„,,44 r Name of Sexton or Person in Charge of Premises 'Z (please]print) Signature / 2E2 Title _A DOH-1555(07/18)p1of2 `�*"� Public Health Law Sec. 4145(2b) 0 _ ^w 5 Receipt Human remains of delivered on , 20 3 f _ Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# 1