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Lemelin, Pamela J
l (L.F - `"°a NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Pamela J. Lemelin Female Date of Death Age If Veteran of U.S.Armed Forces, 05/30/2023 72 Years War or Dates i... Place of Death Hospital,Institution or W City,Town or Village Saratoga Springs Street Address Saratoga Hospital p Manner of Death �NaturalCause Accident Homicide Suicide Undetermined Pending W Circumstances Investigation 0 W Medical Certifier Name Title O Maria Vivenzio DO Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 310 Burial Date Cemetery,Crematory or Facility Name 0 06/01/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation Date Place Removed ❑Removal and/or Held H and/or Hold Address 0 Q. Date Point of U) Transportation Shipment p by Common Carrier Destination o Disinterment Date Cemetery Address Date Cemetery Address El Reinterment Permit Issued to Registration Number Name of Funeral Home Brewer Funeral Home Inc 00211 Address 24 Church Street PO Box 500,Lake Luzerne,New York 12846 Name of Funeral Firm Making Disposition or to Whom i— Remains are Shipped,If Other than Above 2 Address CC uJ a. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 05/31/2023 Registrar of Vital Statistics Dillon Moran(Electronically 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:e ~ DispositionP /JL �, L Z Date of Disposition k�l �'Z� Place of W (address) W N (section) (lot number) (grave number/ Q 0 Name of Sexton or Person in Charge of Premises /' ' It 0 Z ease print) W Signature Title � � ¢ DOH-1555 l07/18)p 1 of 2 r; 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#