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Duell, Rhonda L. NEW YORK STATE DEPARTMENT OF HEALTH 2 Bureau of Vital Records Burial - Transit 0rmit Name First Middle Last Sex }' Rhonda L.Duell Female Date of Death Age If Veteran of U.S.Armed Forces, F 12/31/2020 63 Years War or Dates s . • Place of Death Hospital,Institution or Z City,Town or Village Warrensburg Town Street Address 9 Pennock Drive,Warrensburg Town, New York 12885 p Manner of Death ©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined 0 Pending Ill Circumstances Investigation UJ Medical Certifier Name Title 0 ' Mary Stein NP < Address "1' 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village Warrensburg 5660 31 • ❑Burial Date Cemetery,Crematory or Facility Name 01/04/2021 Pine View Crematory Entombment Address ,, El Cremation Queensbury Town,New York �; El Donation ;Z Date Place Removed O ❑Removal and/or and/or Held F- Hold Address N 0 a Date Point of co ❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address z Reinterment Date Cemetery Address : Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 • Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom t. Remains are Shipped,If Other than Above 2 Address CC W a. Permission is hereby granted to dispose of the human remains described above as indicated. ','' Date Issued 01/04/2021 Registrar of Vital Statistics Rime 11 Lroyd(ECectronica1TySigned) (signature/ $ District Number 5660 Place Warrensburg, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H s S Z Date of Disposition �/ �Z� Place of Disposition ��L W 2 (address) Ui U) O (section) (Number) <` (grave number) 41 Name of Sexton or Person in Charge of Pr 'ses Z "�"" Z (p/easee riot/ W Signature Title (I*mi K- DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 014376 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#