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Hand, Alice Emeline It r ' NEW YORKSTATE DEPARTMENT OF HEALTH • Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Alice Emeline Hand Female Date of Death Age If Veteran of U.S.Armed Forces, 11/15/2020 78 Years War or Dates 1,4 Place of Death Hospital,Institution or City,Town or Village Argyle Town Street Address 60 Durkeetown Road,Argyle Town, New York 12809 'CI Manner of Death © Natural Cause I:Accident Homicide ❑Suicide ❑Undetermined ❑Pending Circumstances Investigation UJ Medical Certifier Name Title 0 David Foote MD Address 340A Main Street,Hudson Falls Village, New York 12839 Death Certificate Filed District Number Register Number City,Town or Village Argyle 5750 48 ❑Burial Date Cemetery,Crematory or Facility Name 11/17/2020 Pine View Crematory ❑Entombment Address e p Cremation Queensbury Town,New York Donation Oa Removal Date Place Removed and/or and/or Held — Hold Address 0 LL Date Point of CO ❑Transportation G by Common Shipment Carrier Destination 11 Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward,New York 12828 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address CC W EL' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/16/2020 Registrar of Vital Statistics Shelley Mckernon(Electronically Signed) (signature) District Number 5750 Place Argyle, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z G�0---Date of Disposition II !(I)2U Place of Disposition �ti,,u� 2 (address) W (I) ICC (section) r7 (lot number) (grave number) tt a Name of Sexton or Person in Charge of Premi L r'� ��d^^H� Z (p/e a print) W Signature7Z Title a a DOH-1555(07/t8)p 1 of 2 Public Health Law Sec. 4145(2b) 014204 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#