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Fish, Ruth Garland • 2447 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ruth Garland Fish Female Date of Death Age If Veteran of U.S.Armed Forces, 03/27/2023 86 Years War or Dates F Place of Death Hospital,Institution or WCity,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death El Natural Cause Accident 0 Homicide Suicide FlUndetermined []Pending W U Circumstances I 'Investigation W Medical Certifier Name Title G Matthew Loftus PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 166 HBurial Date Cemetery,Crematory or Facility Name 03/28/2023 j Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation ollIRemoval Date Place Removed and/or and/or Held F- Hold Address N 0 Date Point of (fl❑Transportation Shipment Q by Common Carrier Destination Date Cemetery Address Disinterment Date Cemetery Address Reinterment Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 2 Address CC W LL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/28/2023 Registrar of Vital Statistics Megan Nolin(Electronically Signed) (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: I— A,,! W Date of Disposition 3).704 Place of Disposition (address) 111fr number) CA (lot number) (grave Name of Sexton or Person in Charge of Pr mises Zir NI-- ,(;,"4.1 ta- lease print) LU Signature Title �m N DOH-1555(o7/18)p 1 of 2 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#