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Bemis, Milton Paul g (-13 NEW YORKSTATE DEPARTMENT OF HEALTH - Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Milton Paul Bemis Male Date of Death Age If Veteran of U.S.Armed Forces, 02/15/2023 75 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare W Manner of DeathUndetermined Pending ®Natural Cause EAccident Homicide+ Suicide g Ili Circumstances Investigation W• MedicaKertifier Name i Title 0 • Sandita Seecharan MD Address 4573 State Route 40,Argyle Town,New York 12809 Death Certificate EileJ Town Of Argyle District Number Register Number City,Town or Village 5750 10 Burial Date Cemetery,Crematory or Facility Name 02/21/2023 Pine View Crematory Entothbment Address ©Cremation Queensbury Town,New York DDonation OZ❑Removal Date Place Removed and/or and/or Held H Hold Address CO CI- Date Point of N❑Transportation p 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 F. Remains are Shipped,If Other than Above 5 Address CC ILI O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/21/2023 Registrar of Vital Statistics ShelTey Mckernon(ECectronica[fy Signed) — (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— Z fI� Date of Disposition 2�u,1z3 Place of Disposition ,,,. �. 2 (address) W N (section) I 2 (lot number) (grave number) O Name of Sexton or Person in Charge of Pre s sL- ii (lease print) LU Signature Title (� 1HTtYt DOH-1555(07/18)p 1 of 2 fo, 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#—