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Hitchcock, Sabrina Booth ** it 65Z NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Sabrina Booth Hitchcock Female Date of Death Age If Veteran of U.S.Armed Forces, 08/05/2023 44 Years War or Dates H Place of Death Hospital,Institution or W City,Town or Village Greenwich Village Street Address 29 Cottage Street, Greenwich Village, New York 12834 p Manner of Death Z Natural Cause EAccident Homicide ESuicide FlUndetermined Pending W Circumstances Investigation W Medical Certifier Name Title C3 John Stoutenburg MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed Village Of Greenwich District Number Register Number City,Town or Village 5722 5 Burial Date Cemetery,Crematory or Facility Name 08/08/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation ODRemoval Date Place Removed and/or and/or Held H Hold Address (f) 0 a Date Point of (/) Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom 1— 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 08/08/2023 Registrar of Vital Statistics 7Clmberfy'WfieCan(Etectronica/Ty Signed) (signature) District Number 5722 Place Village Of Greenwich I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition 8k1(73 Place of Disposition /I ""'V G.7t"--- W (address) .Pt W CC (section) 4 (lot number) (grape number) Name of Sexton or Person in Charge of Premises " ' 'ri l__ t m Z (pie se print/ Z W Title ie ri ik Signature d ..... ...- 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#