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Hyde, Sharon Ann ' . NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Sharon Ann Hyde Female Date of Death Age If Veteran of U.S.Armed Forces, 02/10/2022 69 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Chester Town Warren Street Address 391 Byrnes Road,Chester Town Warren,New York 12853 W pManner of Death ©Natural Cause IDAccident ElHomicide ❑Suicide ❑Undetermined ElPending U Circumstances Investigation LL/Q Medical Certifier Name Title Kate Sauer-Jones PA Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed District Number Register Number City,Town or Village Chestertown 5652 3 ❑Burial Date Cemetery,Crematory or Facility Name 02/11/2022 Pine View Crematory ❑Entombment Address X❑Cremation Queensbury Town,New York ElDonation 6 ❑Removal Date Place Removed and/or and/or Held t— Hold Address U) 0 a Date Point of co Li Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom h- Remains are Shipped,If Other than Above Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/10/2022 Registrar of Vital Statistics Mindy Conway(Electronically Signed) (signature) District Number 5652 Place Chestertown, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I- ' k Z Date of Disposition Q_/.2 —2047z Place of Disposition �; �e V j e,iu C re-m k4)!• 2 (address) W CC (section) {/ (lot number) (grave number) o il / c, Name of Sexton or Person in Ch ge of Premi s �1 Z `(please print) lL Signature Title � � DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) , Receipt Human remains of delivered on , 20 Pine View Cemetery Repfesentng the funeral home named on burial permit Official Funeral Directors Reg.or License#