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DiMola, Margaret Elizabeth i4-,cz_. NEW YORK STATE DEPARTMENT OF HEALTH l'OF _ ' Bureau of Vital Records Burial Transit Permit Name First Middle Last Sex '"' Margaret Elizabeth DiMola Female Date of Death Age If Veteran of U.S.Armed Forces, 01/10/2024 70 Years War or Dates f.. Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital 3' Manner of Death ZNatural CauseAccident Homicide 0Suicide FlUndetermined riPending Circumstances Investigation E Medical Certifier Name Title Numan Rashid 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 21 Burial Date Cemetery,Crematory or Facility Name 01/13/2024 Pine View Crematory Entombment Address ©Cremation Queensbury,New York ▪Donation ZO❑Removal Date Place Removed and/or and/or Held W Hold Address 0 O. Date Point of U ❑Transportation 5 by Common Shipment Carrier Destination O Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 2 Address CC W U. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 01/12/2024 Registrar of Vital Statistics cDifon Moran(E(ectronicaCCy 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: P Date of Disposition 111(0 I2 Place of Disposition �ad.vr,1 G 644104:14`_ 2 (address) W 2 (section) 4(lot number) (grave number) 8 Name of Sexton or Person in Charge of Premises 4r., a Z (Plea print/ j Hi Signature CJ ( Title [ �{ DOH-1555(07/18)p 1 of 2 - i iv r ep 7 t�f 7 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#