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Macmillan, Laura - tt3gb NEW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Laura Macmillan Female Date of Death Age If Veteran of U.S.Armed Forces, 04/27/2023 41 Years War or Dates l•— Place of Death Hospital,Institution or Z City,Town or Village Milton Town Street Address 331 Rowland Street#47, Milton Town, New York 12020 w Manner of Death Undetermined Pending � �Natural Cause Accident �Homicide nSuicide lit U I—ICircumstances Investigation WI Medical Certifier Name Title CI Susan Hayes-Masa Coroner Address 40 McMaster Street,Ballston Spa Village,New York 12020 Death Certificate Filed Town Of Milton District Number Register Number City,Town or Village 4561 14 Burial Date Cemetery,Crematory or Facility Name 05/01/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation 0Z❑Removal Date Place Removed and/or and/or Held ~ Hold Address N 0 a Date Point of Cl)nTransportation Shipment p by Common Carrier Destination El Disinterment Date Cemetery Address n Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home William J Burke&Sons Funeral Home 01827 Address 628 N Broadway,Saratoga Springs,New York 12866 Name of Funeral Firm Making Disposition or to Whom _ Remains are Shipped,If Other than Above - Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/01/2023 Registrar of Vital Statistics Brenda 1fowe(E1ectronicaCCy Signed) (signature) District Number 4561 Place Town Of Milton I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WH '140" Date of Disposition y 12 ( 13 Place of Disposition ��Y � 2 (address/ W NCC (section) A (lot number) (grape number) Name of Sexton or Person in Charge •of Prem' es Z ' lease print) Z f9)� Ill Signature p Title DOH-1555(07/18)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#