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Craft, Melissa Ann
# 1 (1 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Melissa Ann Craft Female Date of Death Age If Veteran of U.S.Armed Forces, 10/27/2021 41 Years War or Dates F Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital 0 Manner of Death © Natural Cause EiAccident 0 Homicide 0 Suicide El Undetermined 1=1 Pending LU 0 Circumstances Investigation W Medical Certifier Name Title 0 Maria Vivenzio DO Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 630 Burial Date Cemetery,Crematory or Facility Name 11/01/2021 Pine View Crematory Entombment Address 0 Cremation Queensbury Town,New York Donation Z Removal Date Place Removed and/or and/or Held H Hold Address 0 Date Point of Cl) ❑Transportation Shipment 0 by Common Carrier Destination Date Cemetery Address ❑Disinterment 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 i— Remains are Shipped,If Other than Above - Address CC W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/01/2021 Registrar of Vital Statistics John Eau(Eranck(E(ectronica1Ty Signed) (signature) District Number 4501 Place Saratoga Springs, 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 t) 131 14 Place of Disposition ?Atli, '—..— 111 2 (address) LU Cl) (section) (lot number) (grave number) Name of Sexton or Person in Charge of Premises l:Vr... `� "A"-'tr (p(eas�pint) z J l g M 4T W Signature Title DOH-1555(07/18)p 1 of 2 I 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#