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McNamee, Shirley Mae
11(6 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Shirley Mae McNamee Female Date of Death Age If Veteran of U.S.Armed Forces, 02/10/2023 87 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital Manner of Death Natural Cause EAccident ❑Homicide 0Suicide ElUndetermined riPending tL Circumstances Investigation WMedical Certifier Name Title CI Adrianna Earl Other Address 9 Carey Road,Queensbury Town, New York 12804 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 79 Burial Date Cemetery,Crematory or Facility Name 02/13/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed and/or and/or Held Hold Address N O a Date Point of Cl) Transportation by Common Shipment Carrier Destination O Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway,Fort Edward, New York 12828 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above a Address CC a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/13/2023 Registrar of Vital Statistics I Megan.Wolin(ECectronica(CySigned) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition Z /3-��3 Place of Disposition t ft� 2 (address) W CCCC (section) (lot number) (grave number) Name of Sexton or Person in Charge of Premises (please print) l!J Signature Title e—re,.+-c4„4 �� '� DOH-1555(07/18)p 1 of 2 is C 1 c` Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#