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Hanley, Audrey Elaine f NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Audrey Elaine Hanley Female Date of Death Age If Veteran of U.S.Armed Forces, 06/07/2021 86 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare W Manner of Death Undetermined Pending W © Natural Cause Accident Homicide Suicide U Circumstances Investigation W Medical Certifier Name Title C3 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 38 111 Burial Date Cemetery,Crematory or Facility Name 06/14/2021 Pine View Crematory ElEntombment Address ECremation Queensbury Town,New York nDonation Z Removal Date Place Removed and/or and/or Held — Hold Address 0CL - Cl) n Transportation Date Point of p by Common __ Shipment Carrier Destination Disinterment Date Cemetery Address n Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address CC W CI- Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/08/2021 Registrar of Vital Statistics Shelley Mckernon( fectronicalTySigned) (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: Z Date of Disposition 611014 IZg Place of Disposition <-I l,4-11 ( -4!) 2 (address) W NCC (section) (lot number)SL (grave number) Vti Name of Sexton or Person in Charge of remises � „ Z (plea a print) / ��� lL Signature �� Title "F' (V1�. —.- DOH-1555(07/18)p t of 2 Public Health Law Sec. 4145(2b) J 14 5 5 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#