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Bramhall, Nancy C
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Nancy C Bramhall Female Date of Death Age If Veteran of U.S.Armed Forces, 06/17/2021 85 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Binghamton Street Address Our Lady Of Lourdes Memorial Hospital Inc WW Manner of Death ©Natural Cause 1:1Accident 11 Homicide I=1 Suicide El Undetermined Ei Pending Circumstances Investigation ILIQ Medical Certifier Name Title Guerrier Clerger MD Address 169 Riverside Dr,Binghamton,New York 13905-4198 Death Certificate Filed District Number Register Number City,Town or Village Binghamton 0301 354 ©Burial Date Cemetery,Crematory or Facility Name 06/22/2021 Pine View Cemetery Entombment Address Cremation Queensbury,New York ElDonation 0 Removal Date Place Removed and/or and/or Held N Hold Address 0 O.U) ❑Transportation Date Point of by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom f• Remains are Shipped,If Other than Above 2 Address W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/18/2021 Registrar of Vital Statistics Cofteen Clarke(ECectronicaffy Signed) (signature) District Number 0301 Place Binghamton, New York ��..... I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition 6/22/2021 Place of Disposition 21 Quaker Rd Queensbury, NY 12804 (address? N Seneca 6 E 1 IX (section) (lot number) (grave number) 0 Name of - 1 Person in rgeof Premises Connie Goedert (please print) W Signature kOtt Title Superintendent DOH-1555(o /18)p 1 of 2 Public Health Law Sec.4145(2b) u12859 Receipt Human remains of delivered on , 20 Fine iew Cemetery Representing the funeral home named on burial permit Offal Funeral Directors Reg.or License# ��'7 O Bramball/ Ridgeway NAME Nancy Bramball Age: 85 Lot Owner: Richard Ridgeway Jr. Lot# Seneca 6 E Grave# 1 Case: Concrete Died: 6/1 7/2 0 21 Interred:6/2 2/2 0 21 Funeral Home: Regan Denny Stafford Cemetery: Pine View