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Langford, Arlene Diamond
•• tt O NEW YORKSTATE DEPARTMENT OF HEALTHIL\.....63 NBurial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Arlene Diamond Langford Female Date of Death Age If Veteran of U.S.Armed Forces, 04/08/2023 85 Years War or Dates i_ Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc p Manner of Death ❑X Natural Cause Accident Homicide ESuicide Undetermined Pending W V Circumstances Investigation 0 Medical Certifier Name Title Diane Westbrook NP Address 131 Lawrence St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 219 Burial Date Cemetery,Crematory or Facility Name 04/14/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury,New York Donation 0❑Removal Date Place Removed H and/or and/or Held N Hold Address 0 4. Date Point of U)❑Transportation b by Common Shipment Carrier Destination Disinterment Date Cemetery Address OReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom i.. Remains are Shipped,If Other than Above 2 Address It W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/11/2023 Registrar of Vital Statistics Dillon Moran(ECectronicatTy Signed) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: J/ i W Date of Disposition 1= % 2o23 Place of Disposition r, &e' titre C',�,n�hMi 2 (address) W Lt (section) (lot nu er) (grave number) 2 Name of Sexton or Person in Charge of Premises �i14-��el�� f iGY>t4 z (please print) W Signature ..�/� r �� l` /` Title v�-��-i`tv DOH-1555(07/18)p t of 2 1 .- , Public Health Law Sec. 4145(2b) IReceipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#