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Rhodes, Wendy Lee NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Wendy Lea Rhodes Female Date of Death Age If Veteran of US.Armed Forces, 11/26/2023 73 Years War or Dates Place of Death Hospital,Institution or,- WCity,Town or Village Lake George Town Street Address 1897 State Route 9 Room 8,Lake George Town,New York 12845 p Manner of Death ❑X Natural Cause Accident El Homicide Suicide Undetermined El Pending Circumstances Investigation W Medical Certifier Name Title Lynn Keil PA Address 1340 State Route 9,Lake George Town,New York 12845 Death Certificate Filed Town Of Lake George nct Number Register Number City,Town or Village 51 10 Burial Date Cemetery,Crematory or Facility Name 11/30/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation ❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 a Date Point of N❑Transportation El Common Shipment Carrier Destination Disinterment 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 F Remains are Shipped,If Other than Above a Address Q IW O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/29/2023 Registrar of Vital Statistics Patricia Utfc`ICinney-Schuster(ECectronica1Ty Signed) (signature) District Number 5651 Place Town Of Lake George I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W~ ve' ) ' Date of Disposition /2^Z ZOZ3 Place of Disposition t , e addre W cc N (section) (lot m r) (grave number) SName of Sexton or Person in Cha of es (please print) W Signature Title r' 'i'>�1 DOH-1555(07/18)p 1 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#