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Abrams, Franklin Erwin it 05-) NEW YORK STATE DEPARTMENT OF HEALTH *- _ Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Franklin Erwin Abrams Male Date of Death Age If Veteran of U.S.Armed Forces, 11/08/2020 68 Years War or Dates 1972-1974 Place of Death Hospitaf,`Institution or W City,Town or Village Saratoga Springs Street Address 3 Foxhound Run,Saratoga Springs,New York 12866 W Manner of Death © Natural Cause El Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending O Circumstances Investigation lit Medical Certifier Name Title 0 Kenneth Schwartz MD Address 377 Church Street,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 570 ❑Burial Date Cemetery,Crematory or Facility Name 11/12/2020 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York ❑Donation Z Date Place Removed 0❑Removal and/or and/or Held H Hold Address 0 a Date Point of N ❑Transportation El Common Shipment Carrier Destination Date Cemetery Address ❑Disinterment Date Cemetery Address ❑Reinterment Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom t- Remains are Shipped,If Other than Above 2 Address C CL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/12/2020 Registrar of Vital Statistics Jofin Paul-Eranck(Electronically Signed) (signature) District Number 4501 Place Saratoga Springs, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permi on: ZDate of Disposition Il�lZ 170 Place of Disposition (address) CC (section) t npber/ (grave number) • Name of Sexton or Person in Charge of Premises r•' h Z (please rint) 160 Signature Title L DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0141 r 8 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#