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Pattee, Sherri Lynn (1 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle { d Last Sex Sherri Lynn Pattee kV's Female Date of Death Age If Veteran of U.S.Aretred•Forces, 02/06/2023 55 Years War or Dates i_ Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital Ill p• Manner of Death ❑^ Natural Cause Accident 0 Homicide Suicide Undetermined Pending ✓ Circumstances Investigation G Medical Certifier Name Title Enrico Bravo MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 94 ElBurial Date Cemetery,Crematory or Facility Name 02/09/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed and/or and/or Held N Hold Address 0 0• Date Point of (t)EiTransportation p by Common Shipment Carrier Destination ODisinterment Date Cemetery Address riReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above 2 Address C W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/08/2023 Registrar of Vital Statistics (Ditton Moran(ECectronicaffySigned) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit Jon: Z Date of Disposition `Z-/p--Zo 23 Place of Disposition �j►1,ev of it) L/G- r-0cV ILI 2 /addrfss) W re (section) (lot number) (grave number) Jw 1 S Name of Sexton or Person' Cha of Premises r 4,14 C'4LA.., Z (please print) W Signature Title (..-cL)---friG- D,y Of 4-'-isi DOH-1555(07/18)p 16f 2 0.16690 Public Health Law Sec. 4145(2b) - '' Receipt iHuman remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial-ppr nit Official Funeral Directors Reg.or License# `