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Press, Linda Sue NEW YORK STATE DEPARTMENT OF HEALTH OLF Burial — Transit Permit Bureau of Vital Records Name First Middle Last Sex Linda Sue Press Female Date of Death Age If Veteran of U.S.Armed Forces, 11/24/2020 71 Years War or Dates i,,. Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death ❑X Natural Cause ID Accident ❑Homicide El Suicide 0 Undetermined ❑Pending W U Circumstances Investigation W Medical Certifier Name Title 0 Marvin Davidowitz MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 541 ©Burial Date Cemetery,Crematory or Facility Name 12/02/2020 Pine View Cemetery Entombment Address Cremation Queensbury Town,New York ❑Donation Z Removal Date Place Removed 6 and/or and/or Held F Hold Address U) 0 G. Date Point of U) ❑Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address El Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F— Remains are Shipped,If Other than Above 2 Address Ir W 0- Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/01/2020 Registrar of Vital Statistics Rpb-ertAziiervCurtisgYectronicalySigned) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— W Date of Disposition 1 2/2/2 0 2 0 Place of Disposition 21 Quaker Rd. Queensbury, NY 1 2804 (address) W Horicon 40F 1 U) (section) (lot number) (grave number) Name of Sexton or Person in Charge of Premises Connie Goedert z (please print) W ,.o e Titl Superintendent Signature 4 DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 012824 Receipt Human remains of 1� /" delivered on , 20_ / / I f Pine View Cemetery Representing the funeral home name op burial permit Official Funeral Directors Reg.or License# PRE S S NAME Linda Sue Press Age: 71 Lot Owner: Linda Sue Press Lot# Horicon 40F Grave# Case: Concrete Died: 11 /24/2020 Interred: 12/2/2020 Funeral Home: Baker FH Cemetery: Pine View