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Granger, Sharon Lynn � S(� NEW YORK STATE DEPARTMENT OF HEALTH - Burial - Transit Perm t Bureau of Vital Records Name First Middle Last Sex Sharon Lynn Granger Female Date of Death Age If Veteran of U.S.Armed Forces, 07/01/2021 77 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital ▪ Manner of Death Undetermined 1=1Pending W © Natural Cause �Accident El Homicide �Suicide U Circumstances Investigation W Medical Certifier Name Title CI Prajesh Ghimire MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 1657 0 Burial Date Cemetery,Crematory or Facility Name 07/09/2021 Pine View Crematory ❑Entombment Address lCremation Queensbury Town,New York Donation OZ ❑Removal Date Place Removed and/or and/or Held Hold Address 0 Date Point of N Li Transportation Shipment p by Common Carrier Destination ❑Disinterment Date Cemetery Address 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 2 Address It W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/02/2021 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: ~ L04.— Z Date of Disposition 71l1 w1 Place of Disposition `f�{ 'n �V 2 (address) W N cc (section/ g (lot number) (grave number) r l.. 8 Name of Sexton or Person in Charge of Pre ' es n 5,t,udr (pte se print) W a Signature Title ilia DOH-1555(o7/18)p t of 2 .40 Public Health Law Sec. 4145(2b) 01,� .S 32 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#