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Kill ,Brdidgette ,! ii c '' / NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Burial - Transit Permit ?, Name First Middle-- 1 Last Sex Bridgette Mary KIII t Female Date of Death , Age If Veteran of U.S. Armed Forces, 12/30/2017 56 Years War or Dates Place of Death Hospital, Institution or City, Town or Village Glens Falls Street Address Glens Falls Hospital 0 Manner of Death©Natural Cause ❑Accident ❑Homicide ❑Suicide ❑Undetermined ❑Pending Circumstances Investigation Medical Certifier Name Title Marcille Labban MD Address _ 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City, Town or Village Glens Falls 5601 679 i❑Burial Date Cemetery or Crematory 01/02/2018 Pine View Crematorium El Entombment Address ice`' Cremation Queensbury Town, New York Date Place Removed ❑Removal and/or Held and/or Address Hold Date Point of ❑Transportation Shipment 0 by Common Destination Carrier Date CemeteryAddress Li Disinterment El Reinterment Date Cemetery Address Permit Issued to Registration Number op Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Stpo Box 67,Hudson Falls,New York 12839 f °: Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address ® Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/02/2018 Registrar of Vital Statistics Rp6ertACurtis 'ElectronuaaySigned r (signature) e„ District Number 5601 Place Glens Falls, New York 14 l I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Lill Date of Disposition I/ 3 jig Place of Disposition gm U .1 40.4210 r'. W (address) Cl, Ili (section) a (lot number) , (grave number) •p Name of Sexton or Person in Charge of Pr raises .., a✓►. ' ( se pant ILI 04 Signature Title ( rnAPt (over) DOH-1555(02/2004) Town of Queensbury Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Bridgette Kill were cremated on January , 4 20 18 at the Pine View (Month) (Day) Crematorium, Queensbury, New York, and these are the cremated remains of said body. Date of Death December 30 Z0 17 Age 56 (Month) (Day) Funeral Home Carleton F neral Home Registered No. 4 (Auth rized Signature KILL L� NAME Bridgette Age: 56 Lot Owner: Aldrich Family PLOT Lot# WGF Grave# 1 1 Case: Urn Died: 1 2. 3 0. 1 7 Interred:8.25.22 Funeral Home: Carleton FH Cemetery: WEST GLENS FALLS �---fir-� ►� l'� 1� `�- r ��-- 5k�l'(� — iriD51ic,2. Owner \ Ri6"-\ LcA- Address Pl t Phone # Lot # Deed # Date Cost Foundation Y - N Location U) Gv Remarks See e3a<-Y- VCR ,�nd V3CO ne-a- VOR- `P Nex r bprp 4j rush Record of Interments 1 6 2 7 3 8 4 9 5 10 mRpi t > N-e,,F,hex\ S}4e 11 i.e.... > 5►s 11e.\1 ie @ 1a10 -cram Xvar.r ' ' > 19s14e11ie. C-. tiG1-,03 • , a' r .CIA vL)cir." 12 -> C lmv_ 3.i-r\e�R C ou-N-L,aok.c � - ►G►lc 5Kc 11;c -> 51),<11►cam@, qmG;L .c-'z"Y' kil mj 3 . c aruFS II!N b•-)0;Q t - - .11 � �' .bi 5'S tI ) I „7/t. "1C7 i �' �J �, �H-�oaroq � s-4 r 77.-P, 5 m 7 7''.ti/ y h vl t+'f/�/��/1T '� r \ - rc 7 7 Ai z 1 ° . n 2La�i o J n Ci -. \J LI_ '" \ , 1 a, r 4 "� -\( '....; N 1 .. .• IN �a{/s°W,, ..---D NI 244"Md.2.14 N• . 4 c.1 �(` a v s J ,.,sail/scN �� ya p , 4 yJ 4.oa,aa X( p S 'tt J : N . ipiar<77.P")• 'il H- (V '177 '7 k 1 / }47t biQ14) lJ► ` -11!"4.1-21.---- 24- . Q y - / 99a