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Combs, Linda H.
r . I/ do 1 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Linda H.Combs Female Date of Death Age If Veteran of U.S.Armed Forces, 05/04/2021 84 Years War or Dates f;. Place of Death Hospital,Institution or WCity,Town or Village North Creek Hamlet Street Address 164 Main Street, North Creek Hamlet, New York 12853 p Manner of Death ©Natural Cause ❑Accident ❑Homicide ❑Suicide El Undetermined ❑Pending W Circumstances Investigation WMedical Certifier Name Title t7 Paul Bachman MD Address 9 Carey Rd,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village North Creek 5655 16 ▪Burial Date Cemetery,Crematory or Facility Name 05/07/2021 Pine View Crematory ❑Entombment Address ElCremation Queensbury Town,New York ❑Donation Z ❑Removal Date Place Removed and/or and/or Held F. Hold Address CO 0 d Date Point of W❑Transportation Shipment p by Common Carrier Destination ❑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 N 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 05/06/2021 Registrar of Vital Statistics Kpth(een C.Lorah(E(ectronicalTy Signed) (signature) District Number 5655 Place North Creek, 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 5-1';,ZQ4/ Place of Disposition t t rJP v�`i-�iJ t"!.e.-A4-4o 2 (address) lit (section) �,/ (lot number (grave number) 8 Name of Sexton or Person in Charge f Premises /-,Af''/',J ,i �' lw ocl z / (please print) W Signature <� j 7� Title Or 'e — DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) p a � Receipt Human remains of - - delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#