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Parker, Anna Louise
it gog NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records A' . Burial - Transit Permit Name First Middle Last Sex Anna Louise Parker Female • Date of Death Age If Veteran of U.S.Armed Forces, 09/23/2021 85 Years War or Dates .,_ Place of Death Hospital,Institution or al Z City,Town or Village Troy Street Address Samaritan Hospital V Manner of Death © Natural Cause El AccidentHomicide 1=1Suicide 0 Undetermined Pending Circumstances Investigation LU Medical Certifier Name Title 0 Edwin Cowen MD Address 2215 Burdett Ave,Troy, New York 12180 Death Certificate Filed District Number Register Number City,Town or Village Troy 4102 504 — El Burial Date Cemetery,Crematory or Facility Name 09/24/2021 Pine View Crematory 0 Entombment Address ElCremation Queensbury Town,New York 0 Donation ZRemoval Date Place Removed F- and/or and/or Held N Hold Address 0 a. Date Point of U) Li Transportation 0 by Common Shipment Carrier Destination Disinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom p.— Remains are Shipped,If Other than Above a Address CC LU n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/24/2021 Registrar of Vital Statistics 2featferL 9Ku1inio(ECectronica1Ty Signed) (signature) District Number 4102 Place Troy, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: II— W Date of Disposition II 2q ill Place of Disposition /�dn,4_ 2 (address) Ui U) Cr (section) (lot number) (grave number) � Name of Sexton or Person in Charge of Pre ises S� U ��tt� �vM�� `Z ;Ilse print) Signature LJl Title (0614 Li PC DOH-1555 07/18)p 1 of 2 15 , 75 Public Health Law Sec. 4145(2b) ` 1 jReceipt Human remains of delivered on , 20 1 1 1 1 1 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# I •:�..