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Steidle, Deborah Jean
14 NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex • Deborah Jean Steidle Female Date of Death Age If Veteran of U.S.Armed Forces, 11/22/2021 70 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Glens Falls... Street Address Glens Falls Hospital p Manner of Death ©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending W Circumstances Investigation W Medical Certifier Name Title Marcille Labban MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 530 ❑Burial Date Cemetery,Crematory orlity Name 11/23/2021. Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York /�, ❑Donation i! ` ZO ❑Removal Date Place Removed and/or and/or Held ~ Hold Address O a. Date Point of U) ❑Transportation p by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address ❑Reinterment 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 Remains are Shipped,If Other than Above 2 Address CC W Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/23/2021 Registrar of Vital Statistics Men Andrew Curtis(ECectronica1Ty Signed) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I �✓ Z Date of Disposition 1114 Zj Place of Disposition 2 (address) W N (section) (lot number) (grave number) Il1 Name of Sexton or Person in Charge of Prem' 4 sqL c",,tt(pleprint) Signature Title COP.At lure' DOH-1555(07/18)p 1 of 2 0 364 , Public Health Law Sec. 4145(2b) 4rAir, Receipt Human remains of delivered on , 20 -- Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#