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McGuenness, Barbara Jean CIF L(og NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Barbara Jean McGuenness Female Date of Death Age If Veteran of U.S.Armed Forces, 04/30/2023 89 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Queensbury Town Street Address Warren Center for Rehabilitation and Nursing p Manner of Death ❑X Natural Cause Accident ❑Homicide nSuicide Undetermined riPending Circumstances Investigation W Medical Certifier Name Title O Roslyn Socolof MD Address 42 Gurney Ln,Queensbury Town,New York 12804 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 69 Burial Date Cemetery,Crematory or Facility Name 05/02/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation ZO❑Removal Date Place Removed and/or and/or Held - Hold Address 0 O. Date Point of t/) Transportation p by Common Shipment Carrier Destination ODisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F. Remains are Shipped,If Other than Above 2 Address Q IW n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/02/2023 Registrar of Vital Statistics Caroline 2fi(fegarde Barber(ECectronicalty Signed) (signature) District Number 5657 Place Town Of Queensbury I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z W Date of Disposition Sit � L3 Place of Disposition -6141,` 2 (address) fW CC (section) `/� (lot number) (grave number) g Name of Sexton or Person � ChargeJI in of Premises !/ri Z ease print) W Signature � Title DOH-1555(07/18)pi 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#