Sawyer, Michele Marie 43
NEW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Michele Marie Sawyer Female
Date of Death Age If Veteran of U.S.Armed Forces,
07/27/2023 70 Years War or Dates
F_ Place of Death Hospital,Institution or
Z City,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare
Manner of Death nUndetermined Pending
n Natural Cause Accident n Homicide []Suicide I I n
W Circumstances Investigation
W Medical Certifier Name Title
O Sandita Seecharan MD
Address
4573 State Route 40,Argyle Town,New York 12809
Death Certificate Filed Town Of Argyle District Number Register Number
City,Town or Village 5750 39
Burial Date Cemetery,Crematory or Facility Name
07/31/2023 Pine View Crematory
[]Entombment Address
[]Cremation Queensbury Town,New York
Donation
O Removal Date Place Removed
- and/or and/or Held
- Hold Address
O
a Date Point of
U)[]Transportation
El Common Shipment
Carrier Destination
Date Cemetery Address
Disinterment
n Date Cemetery Address
I 1 Reinterment
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
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/31/2023 Registrar of Vital Statistics SfielLeyMc*rrion(EYectrottically4wea)
(signature)
District Number 5750 Place Town Of Argyle
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
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WDate of Disposition 7 SI- -Oy p> Place of Disposition .. l/u Gfe�mMo(Y
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(/)CC (section) (lot number) (grave number)
0 Name of Sexton or Person in Charge of Premises a ern UK S, 'ft5
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