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Sweet, Cathy II ?1 i NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Cathy Sweet Female Date of Death Age If Veteran of U.S.Armed Forces, 03/28/2023 68 Years War or Dates Place of Death Hospital,Institution or It! City,Town or Village Granville Town Street Address Slate Valley Center for Rehabilitation and Nursing Q Manner of Death 0 Natural Cause Accident 0 Homicide OSuicide Undetermined ri Pending W 0 Circumstances Investigation 111 0 Medical Certifier Name Title Brandii Baker NP Address 10421 State Route 40,Granville Town,New York 12832 Death Certificate Filed Town Of Granville District Number Register Number City,Town or Village 5756 13 DBurial Date Cemetery,Crematory or Facility Name 03/29/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation Z Date Place Removed Q 0 Removal Q, and/or and/or Held N Hold Address O tIL Date Point of U)DTransportation L' by Common Shipment Carrier Destination Date Cemetery Address Disinterment OReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom t Remains are Shipped,If Other than Above g Address Q ILI O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/29/2023 Registrar of Vital Statistics Jenny Linda 9tf Martelre(ErectronicalTySigned) (signature) District Number 5756 Place Town Of Granville I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: r� .A lu Date of Disposition 3 73 Place of Disposition u ,/ 2 (address) ILI th Charge /section/ /� (lot number) �l�lgrave number) 2 Name of Sexton or Person in Cha e of Prem. f/ - Zr /p ease print/ W Signature Title r(464.11/1 DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt 1 Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#