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Newman, Judith Lee NEW YORKSTATE DEPARTMENT OF HEALTH " . 1111(....1 ) gT3 Bureau of Vital RecordsBurial - Transit Permit Name First Middle Last Sex Judith Lee Newman Female Date of Death Age If Veteran of U.S.Armed Forces, 11/03/2023 76 Years War or Dates F Place of Death Hospital,Institution or W City,Town or Village Hudson Falls Village Street Address 47 Feeder Street, Hudson Falls Village, New York 12839 p• Manner of Death a Natural Cause Accident Homicide Suicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title iam Parker MD ', ress • 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Village Of Hudson Falls District Number Register Number Ci ,Town or Village 5726 32 Burial Date • Cemetery,Crematory or Facility Name 11/07/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York nDonation 6 E1 Removal Date Place Removed and/or and/or Held F- Hold Address N 0 O. Date Point of U)❑Transportation Q by Common Shipment Carrier Destination ODisinterment Date ' Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above 2 Address CC W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/07/2023 Registrar of Vital Statistics Cynthia ABarctn(ECectronica((ySigned) (signature) District Number 5726 Place Village Of Hudson Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z W Date of Disposition ()it I Z3 Place of Disposition r T 0 01 y�-..1 (We'latdl2Tru-1 2 (address) W CC (section) (lot number) (grave number) gCC Aatyl.L..- Name of Sexton or Person in Charge of Premise "'`Li z ()lease print) W Signature Title � m�TO DOH-1555(o7/18)p id 2 T i f! 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#