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Beaudin, Christene M
1133 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Christene M Beaudin Female Date of Death Age ' If Veteran of U.S.Armed Forces, 11/04/2021 52 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital pManner of Death ©Natural Cause Accident Homicide El Suicide Undetermined El Pending W Circumstances Investigation W Medical Certifier Name Title Sarah McMahon PA Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 2725 EIBurial Date Cemetery,Crematory or Facility Name 11/05/2021 Pineview Crematorium ElEntombment Address lCremation Queensbury Town,New York IDDonation Removal Date Place Removed and/or and/or Held N Hold Address O 0. Date Point of co ❑Transportation Shipment $ by Common Carrier Destination ElDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St,Glens Falls,New York 12801 Name of Funeral Firm Making Disposition or to Whom �. Remains are Shipped,If Other than Above 2 Address at W a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/05/2021 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: IF-Z Date of Disposition lily t1 Place of Disposition g� art.-- LLI (address) W CC (section) `'/ (lotnumber� (grave number) SName of Sexton or Person in Charge of Premises (IIJ� Z (p4se print) Ill Signature �� Title ` �"qrVif- DOH-1555(07/t8)p t of 2 Q . . Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#