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Markowitz, Marie Elizabeth NEW YORK STATE DEPARTMENT OF HEALTH �� Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Marie Elizabeth Markowitz Female Date of Death Age If Veteran of US.Armed Forces, 10/22/2023 67 Years War or Dates Place of Death Hospital,Institution or City,Town or Village Fort Edward Town Street Address Fort Hudson Nursing Center Inc W Manner of Death f Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title Carrie Miron PA Address 319 Broadway,Fort Edward Town,New York 12828 Death Certificate Filed Town Of Fort Edward District Number Register Number City,Town or Village 5755 89 Burial Date Cemetery,Crematory or Facility Name 10/24/2023 Pineview Crematorium Entombment Address ©Cremation Queensbury Town,New York DDonation 0❑Removal Date Place Removed p and/or and/or Held N Hold Address 0 Date Point of to❑Transportation 5 by Common Shipment Carrier Destination Disinterment Date Cemetery Address OReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St,Glens Falls,New York 12801 Name of Funeral Firm Making Disposition or to Whom i- Remains are Shipped,If Other than Above 2 Address IL W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/24/2023 Registrar of Vital Statistics Aimee L Mahoney(Electronically Signed) (signature) District Number 5755 Place Town Of Fort Edward I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition 1 p1 7T 173 Place of Disposition ✓F u Z�u (PAE/►1A Tv12 7.0+� 2 (address) W (section) (lot number) (grave number) SName of Sexton or Person in Charge of Premise rl it z 4Iea print)1/1Signature �� Title 1�Fi' 41W DOH-1555(07/18)p i of 2 • fl"'.. .r f.' .' Public Health Law Sec. 4145(2b) Receipt / Human remains of 'i' Tr 4y delivered on r , 20 -- Pine View Cemetery Representing the funeral hovenamed on burial permit Official Funeral Directors Reg.or License# -'