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Webster, Brenda J
03 s.� NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Brenda J.Webster Female Date of Death Age If Veteran of U.S.Armed Forces, 04/15/2023 82 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital pManner of Death Natural Cause Accident El Homicide Suicide IIIU ❑Pending VCircumstances Investigation Ili G Medical Certifier Name Title Scott Biasetti MD 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 201 Burial Date Cemetery,Crematory or Facility Name 04/19/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed H and/or and/or Held N Hold Address 0 d Date Point of (/)❑Transportation p by Common Shipment Carrier Destination ElDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom Il— Remains are Shipped,If Other than Above 5 Address CC W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/18/2023 Registrar of Vital Statistics Megan No(in(ECectronica(Cy 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: IH ,� Z Date of Disposition 9 IA 113 Place of Disposition ,�nkL Nip 1.11.1 2 t(address) W CC N (section) / (lot number)J (grave number) SName of Sexton or Person in Charge of Premises 1^ L I tr z /p ase print/ ` uJ Signature Title l� �1�, DOH-1555(07/18)p 1 of 2 t M 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#