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Imrie, Helen _ 0ink NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Helen Imrie Female Date of Death Age If Veteran of U.S.Armed Forces, 08/22/2023 88 Years War or Dates Place of Death Hospital,Institution or ECity,Town or Village Argyle Town Street Address Washington Center For Rehabilitation And Healthcare 3 Manner of Death a Natural Cause Accident 0 Homicide Suicide Undetermined Pending W Circumstances Investigation 0 Medical Certifier Name Title Brandii Baker NP 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 42 ...aBurial Date Cemetery,Crematory or Facility Name 08/25/2023 Pine View Crematory ' Entombment Address _:©Cremation Queensbury Town,New York Donation , Z Removal Date Place Removed and/or and/or Held H Hold Address N O O. Date Point of U)❑Transportation Shipment 0 by Common Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address El Reinterment Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address 5 d Permission is hereby granted td dispose of the human remains described above as indicated. Date Issued 08/25/2023 Registrar of Vital Statistics Sfiet1ey Mckernon(ECectronicallySigned) (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: I— Date / WDate of Disposition '-262oZ; Place of Disposition A,J e i/t'e '-) Cr a-F,� a (address) it (section) /lot nu ber/ I (grave number) 8 Name of Sexton or Person in Charge Pre 'se w in tea i cad Z / /p ease prin W Signature Title 0c e-c-A7 r DOH-1555(o7/18)p 1 of 2 I Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View. Cemettery --- Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#