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Dimmer,Elizebeth • NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Elizabeth Dimmer Female Date of Death Age If Veteran of U.S.Armed Forces, 12/17/2020 80 Years War or Dates F Place of Death Hospital,Institution or Z City,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare pManner of Death ©Natural Cause El Accident Homicide ❑Suicide ❑Undetermined Pending UCircumstances Investigation 0 Medical Certifier Name Title Brandii Baker NP Address 100 Park St,Glens Falls, New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Argyle 5750 52 Burial Date Cemetery,Crematory or Facility Name 12/21/2020 Pine View Crematory Entombment Address ElCremation Queensbury Town,New York ❑Donation 0Z ❑Removal Date Place Removed and/or and/or Held Hold Address 0 CL Date Point of to ❑Transportation O 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-Fort Edward 01079 Address 82 Broadway,Fort Edward, New York 12828 Name of Funeral Firm Making Disposition or to Whom i- Remains are Shipped,If Other than Above Address W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/21/2020 Registrar of Vital Statistics Ske/Thy Mckernon(E(ectronica(Cy 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: Z12111 ZI-2a Z t Date of Disposition Place of Disposition 2 (addre ) W CC (section) (lot number) (grave number) 11.4 0 Name of Sexton or Perso n arge of Premises �U✓� '� 4 �� Z (please print) W Signature "'V Title Gr�"r' �Y �� G✓ DOH-1555(07/18)p 1 2 Public Health Law Sec. 4145(2b) 014 y C Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License it