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Parisi, Margaret Louise ; 3� NEW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Margaret Louise Parisi Female Date of Death Age If Veteran of U.S.Armed Forces, 04/19/2021 64 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address Glens Falls Hospital Manner of Death © Natural Cause 0 Accident ❑Homicide 0 Suicide Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title O Scott Biasetti MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 185 ❑Burial Date Cemetery,Crematory or Facility Name 04/22/2021 Pine View Crematory 0 Entombment Address X❑Cremation Queensbury Town,New York 0 Donation 60 Removal Date Place Removed and/or and/or Held F- Hold Address G0.. Date Point of (I) Transportation Shipment p by Common Carrier Destination 0 Disinterment Date Cemetery Address 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 I— Remains are Shipped,If Other than Above 5 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/21/2021 Registrar of Vital Statistics 2i'g6ertAndCrew Curtis(ECectronically Signed) (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: Z Date of Disposition LJ/U I ii Place of Disposition M�i� art 2 (address) W CC CC (section) (lat number) (grave number) O Name of Sexton or Person in Charge of Premises � InMM Q (pleas print)W J Signature Title ` 11r mlfP4 DOH-1555(oi/18)p 1 of 2 Public Health Law Sec. 4145(2b) wR 1 8 j Receipt Human remains of delivered on , 20 1 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# !' f