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Gleason, Julianne Katherine 114. NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Julianne Katherine Gleason Female Date of Death Age If Veteran of U.S.Armed Forces, 11/25/2023 81 Years War or Dates F. Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital pManner of Death Natural Cause IllAccident 0 Homicide ESuicide Undetermined 17 Pending W C.) Circumstances Investigation ILI G Medical Certifier Name Title Santosh Vaghela MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 671 Burial Date Cemetery,Crematory or Facility Name 12/01/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation g❑Removal Date Place Removed and/or and/or Held F- Hold Address U) 0 Q. Date Point of U)❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above N Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/27/2023 Registrar of Vital Statistics Oil-Con Moran(ECectronicaCTy Signed) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: II— I Date of Disposition j114 I/3 Place of Disposition �oifi`'�ecw L2Fr1 TO �1� 2 (address) W CC (section) 4 (!a�number) (grave number) Q Name of Sexton or Person in Charge of Pre ises �' �-- S'eo- 0t1iZ /p! se print/ ` W Signature a Title G �s�t DOH-1555(07/18)p 1 of 2 A_ r 1 ; 22 1 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 .: 1 Pine View Cemetery Representing the funeral home named onibuotlatermit Official Funeral Directors Reg.or License#