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Drexel, Marcie Jane NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Marcie Jane Drexel Female Date of Death Age If Veteran of U.S.Armed Forces, 01/08/2023 80 Years War or Dates i,. Place of Death Hospital,Institution or pZ City,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare Manner of Death ID Natural Cause Accident 0 Homicide OSuicide ❑Undetermined ri Pending W U Circumstances ilInvestigation QW Medical Certifier Name Title Sandita Seecharan MD Address 4573 State Route 40,Argyle Town,New York 12809 Death Certificate Filed Town Of Argyle District Number Register Number City,Town or Village 5750 ©Burial Date Cemetery,Crematory or Facility Name 01/12/2023 Pine View Cemetery 1.Entombment Address Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed F= and/or and/or Held W Hold Address 0 0. Date Point of U)❑Transportation C by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F- Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/11/2023 Registrar of Vital Statistics She((eyMckernon(ECectronica((ySigned) (signature) District Number 5750 Place Town Of Argyle I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I- W Date of Disposition r . a a Place of Disposition (DI ��� t � � QLcch1S1�. \ � 2 (address) \ I CA 8 (s ion/ 1 (lot number) (grave number) Name of Sexton or Person in Charge of Premises fi,), ,cic",P f Z (please print/ /Ili Signature /� f2_ Title Jt l ,vr;,. /dCii 7' DOH-1555(07/18)pi of 2 I Public Health Law Sec. 4145(2b) u12 b3 Receipt Human remains of V .r C< Prf�x L1 delivered on �'/ 20 ZZ e View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# Drexel NAME Marcie Drexel Age: 80 Lot Owner: James & Marcie Drexel Lot# Hudson#1 16N Grave# 4 Case: Concrete Died: 1 .8.2 3 Interred: 1 . 1 2.2 3 Funeral Home: Baker FH Cemetery: Pine View DREXEL Lot No. 16-N ddress 25 Pinewood Rd . Qusensbur y , NY 12804 Section No. # '. ►caner James & Marcie Drexel Plot Hudson ate 5/8/01 Approx . 133 Superficial ft. ocation Bounded on North by Woods , South by Ledford , East by Vacant . West by Evans . Drner Posts emarks eed No. (and changes) 3100 lyment Record Paid in Full 5/8/01 ($1 , 6 0 0 . 0 0) cord of Interments GcJ , s IIcL r ['dA. 1> cm No. 01