Loading...
Macknight, Wilda Estella It /OW NEW YORKSTATE DEPARTMENT OF HEALTH . Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Wilda Estella MacKnight Female Date of Death Age If Veteran of U.S.Armed Forces, 12/08/2021 88 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address 87 Meadow Drive,Queensbury Town, New York 12804 a Manner of Death © Natural Cause 0 Accident 0 Homicide 0 Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title a Darci Gaiotti-Grubbs MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Queensbury 5657 235 ❑Burial Date Cemetery,Crematory or Facility Name 12/09/2021 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 to 0 G. Date Point of Cl) ❑Transportation Shipment ij by Common Carrier Destination Disinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls, New York 12803 Name of Funeral Firm Making Disposition or to Whom F.. Remains are Shipped,If Other than Above 2 Address it Illl O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/09/2021 Registrar of Vital Statistics Caroline xldegarde Barber(ECectronicallySigned) (signature) District Number 5657 Place Queensbury, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: i- v W Date of Disposition /,2-//.mi � l Place of Disposition � e_ v,er..� r1 ,ry,1 ea M (address) lW CC (section) �,/ (lot number (grave number) O Name of Sexton or Person in Char f Premises R n'/�`7O,'� O�rnt W � (pleas p ) Signature �-__ Title o�sQS�` DOH-1555(07/18)p 1 of 2 • Public Health Law Sec. 4145(2b) V 0t , Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#