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Sawtell Jr., Paul Edward NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Paul Edward Sawtell Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 04/29/2023 91 Years War or Dates 1953-1955 Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address The Pines At Glens Falls Center For Nursing&Rehabilitation W Manner of Death Undetermined Pendin W �Natural Cause Accident �Homicide Suicide � � g Circumstances Investigation W Medical Certifier Name Title Ci Jean Flanagan MD Address 170 Warren St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 220 Burial Date Cemetery,Crematory or Facility Name NMI 05/02/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation Z ❑Removal Date Place Removed and/or and/or Held Hold Address 0 a Date Point of N ElTransportation p by Common Shipment Carrier Destination EDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Fort Edward 01079 Address 82 Broadway, Fort Edward,New York 12828 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address C W Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/01/2023 Registrar of Vital Statistics Megan NoCin(ECectronica(tySigned) (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: Z Date of Disposition S),� )71 Place of Disposition ^^�1/ W 2 (address) W CC (section) dt-kL (lot number) (grave number) Name of Sexton or Person in Charge o misesS i please print Signature Title Crhl�� DOH-1555(07/18)p t 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#