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Eckert, Patricia Kane ,is\ NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Patricia Kane Eckert Female Date of Death Age If Veteran of U.S.Armed Forces, 10/06/2021 81 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Milton Town Street Address Gateway House of Peace 'p Manner of Death ©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending Circumstances Investigation W Medical Certifier Name Title CI Frances Bollinger MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Ballston Spa 4561 56 ❑Burial Date Cemetery,Crematory or Facility Name 10/08/2021 Pine View Crematory ❑Entombment Address O Cremation Queensbury,New York ❑Donation z ❑Removal Date Place Removed and/or and/or Held N Hold Address Date Point of N ❑Transportation Shipment 5 by Common Carrier Destination ❑Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan&Denny Funeral Service 01444 Address 94 Saratoga Ave,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom I— Remains are Shipped,If Other than Above 2 Address Q W a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/08/2021 Registrar of Vital Statistics Brenda Jfowe(ECectronicaITySigned) (signature) District Number 4561 Place Ballston Spa, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Date of Disposition JO.- Qc?Z Place of Disposition e/)e (AAA./ Cr-elrl h 2 (address/ W CC (section) (lot pnumber) (grave number) O Name of Sexton or Person in Cha of Premi s Ic14 T /n OW 6Y�00 d (please print) W Signature Title te " ler DOH-1555(07/18)p 1 of 2 115218 Public Health Law Sec. 4145(2b) Receipt Human remains of ' • - - - t'- delivered on , 20 Pine View Cemetery Representing the funeral home named onburial‘permit Official Funeral Directors Reg.or License#