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Cole, Ora Leah 41 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ora Leah Cole Female Date of Death Age If Veteran of U.S.Armed Forces, 08/22/2023 60 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Warrensburg Town Street Address 127 River Street, Warrensburg Town, New York 12885 'p Manner of Death Natural Cause Accident Homicide ESuicide Undetermined Pending V Circumstances Investigation W Medical Certifier Name Title 0 Lynn Keil PA Address 9 Carey Road,Queensbury Town, New York 12804 Death Certificate Filed Town Of Warrensburg District Number Register Number City,Town or Village 5660 11 Burial Date Cemetery,Crematory or Facility Name 08/24/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York ,riDonation 6—Eland/or Removal Date Place Removed and/or Held N Hold Address 0 d. Date Point of (/) Transportation p by Common Shipment Carrier Destination oDisinterment Date Cemetery Address OReinterment 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 1— Remains are Shipped,If Other than Above Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/23/2023 Registrar of Vital Statistics (Pamela M Lfoyd(E(ectronicalTy Signed) (signature) District Number 5660 Place Town Of Warrensburg I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: IH W Date of Disposition Z� 1 Place of Disposition �'�€ G� 1'jzjyj . .5 2 (address) W N LC (section) / (lot number) (grave number) 8 Name of Sexton or Person in Charge f Premises �') m0✓✓ ut)ooci (please print) W Signature f� Title CieCT#(,`Ies DOH-1555(07/1.8)p t 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#