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Young, Patricia G NEW YORKST � •ATE DEPARTMENT HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Patricia G.Young Female Date of Death Age If Veteran of U.S.Armed Forces, 07/08/2023 97 Years War or Dates F,. Place of Death Hospital,Institution or WCity,Town or Village Chester Town Warren Street Address 4808 State Route 8,Chester Town Warren,New York 12817 pManner of Death Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation al G Medical Certifier Name Title Kate Sauer-Jones PA Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Chester District Number Register Number City,Town or Village 5652 12 Burial Date Cemetery,Crematory or Facility Name 07/11/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York ElDonation 0 Removal Date Place Removed and/or and/or Held H Hold Address 0 a. Date Point of Cl) Transportation p by Common Shipment Carrier Destination EiDisinterment Date ' Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/10/2023 Registrar of Vital Statistics Mindy Conway(ECectronicaffy Signed) (signature) District Number 5652 Place Town Of Chester I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z � to Date of Disposition 711I l 73 Place of Disposition '�l/ � 2 (address) W CC CC (section) (lot number) (grave number) 8 Name of Sexton or Person in Charge o emises Z (phase print) W Signature Title CraC"4 �� DOH-1555(o7/18)p 1 of 2 ) I 71O Public Health Law Sec. 4145(2b) Receipt Human remains of p delivered on , 20 }'. Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#