Lamb, Marie Sheila 4 711
NEW YORK STATE DEPARTMENT OF HEALTH ,1 Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Marie Sheila Lamb Female
Date of Death Age If Veteran of US.Armed Forces,
10/29/2021 81 Years War or Dates
F Place of Death Hospital,Institution or
W City,Town or Village Albany Street Address St Peters Hospital
pManner of Death XI Natural Cause 0 Accident Homicide Suicide 0 Undetermined Pending
V Circumstances Investigation
E Medical Certifier Name Title
Lisa Armao NP
Address
315 S Manning Blvd,Albany,New York 12208
Death Certificate Filed District Number Register Number
City,Town or Village Albany 0101 2681
ElBurial Date Cemetery,Crematory or Facility Name
10/30/2021 Pine View Crematorium
Ej Entombment Address
aCremation Queensbury Hamlet,New York
0 Donation
11t*;
❑Removal Date Place Removed sgq
F and/or and/or Held ; F
N Hold Address
a Date Point of
0 ❑Transportation
5 by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Barton-Mcdermott Funeral Home Inc 00141
Address
9 Pine St,Chestertown,New York 12817
Name of Funeral Firm Making Disposition or to Whom
E— Remains are Shipped,If Other than Above
a Address
CC
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/29/2021 Registrar of Vital Statistics FDanielle S caespie(E(ectronicaQy Signed)
(s/gnature)
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:
Date of Disposition I1 / I 1 2( Place of Disposition 'r,t ViN.— t L ef,..-
2 (address)
W
CC (section) (lot number) (grave number)
8 Name of Sexton or Person in Charge of Pre ' es A 0% L S 1 1fi
Z pease print/ 1
W Signature Title I0/�'4t9ile
g / ��
DOH-1555(07/18)p 1 of 2
3 . p
Public Health Law Sec. 4145(2b)
Receipt
Human remains of _ • delivered on , 20, ,i
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License# ,