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Ramsey, Alana Beth
07 NEW YORK STATE DEPARTMENT OF HEALTH r Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Alana Beth Ramsey Female Date of Death Age If Veteran of U.S.Armed Forces, 06/16/2021 53 Years War or Dates F— Place of Death Hospital,Institution or WCity,Town or Village South Glens Falls Village Street Address 107 Hudson Street,South Glens Falls Village,New York 12803 p Manner of Death ❑ Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ©Pending ILI 0 Circumstances Investigation ILI Medical Certifier Name Title a Anthony Perniciaro Coroner Address 6012 County Farm Road, Ballston Spa Village, New York 12020 Death Certificate Filed District Number Register Number City,Town or Village South Glens Falls Village 4524 16 EBurial Date Cemetery,Crematory or Facility Name 06/22/2021 Pine View Crematory ❑Entombment Address El Cremation South Glens Falls Village,New York ❑Donation Z ❑Removal Date Place Removed F: and/or and/or Held N Hold Address 0 is Date Point of (I) ❑Transportation p by Common Shipment Carrier Destination Date Cemetery Address El Disinterment Date Cemetery Address ❑Reinterment 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 F Remains are Shipped,If Other than Above 2 Address CC W C. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/21/2021 Registrar of Vital Statistics Shannon Xelliher(ECectronicallySigned) (signature) District Number 4524 Place South Glens Falls Village, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: /��vF--� H Z Date of Disposition to is(II Place of Disposition '� L '�L ILI 2 (address) W N (C (section) (lot numbed ` (grave number) GName of Sexton or Person in Charge of Pre ises Al tb 1. ✓ln+w.v�h W (p!e se print) Signature Title Iielitat DOH-1555(07/18)p 1 of 2 i - ., , Public Health Law Sec. 4145(2b) Receipt ", -` . . ED °� I1 1 Human remains of delivered on , 20` Pine View Cemetery ` `` Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#