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Feathers, Auddrey K NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Audrey K Feathers Female Date of Death Age If Veteran of US.Armed Forces, 08/26/2023 94 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Daughters Of Sarah Nursing Center tp Manner of Death Natural Cause Accident Homicide ESuicide Undetermined ri Pending Circumstances Investigation W Medical Certifier Name Title Helen Mcdonald NP Address 180 Washington Ext Ave,Albany,New York 12203 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1995 Burial Date Cemetery,Crematory or Facility Name 08/30/2023 Pineview Crematory _Entombment Address ©Cremation Queensbury Town,New York DDonation Z Removal Date Place Removed Q and/or and/or Held N Hold Address 0 d. Date Point of U)❑Transportation p by Common Shipment Carrier Destination ElDisinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above g Address CC W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/29/2023 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed) (signature) District Number 0101 Place City Of Albany I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Ih— W Date of Disposition c 3l 7d23 Place of Disposition �, �Je 14e-„tf CJ� y (address) Cn CC (section) (lot num r) (grave number) Q el Name of Sexton or Person in Charge Pre 'se !!'10�✓17 O© C� (please print) IL Signature Title C'eV-44:6 [— DOH-1555(07/18)p t of 2 7 p 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#