Bovee, Virginia A . l7
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NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
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Name First Middle Last Sex
Virginia A. Bovee Female
Date of Death I Age If Veteran of U.S.Armed Forces,
01/24/2024 90 Years War or Dates
I— Place of Death I Hospital Institution or
Z City,Town or Viiiage _-, ;r,v;,,,e Town Street Address Hayne's House of Hope
W
(3 Manner of Death '\ .,"cal Cause 'Accident Homicide []Suicide Undetermined []Pending
tL I 'Investigation
Investigation
W Medical Certifier Title 1
0 i cnaei Adams MD
1448 Route 9,Fort El, C- : ew York 1?8'=8
. Death Certificate Filec , , Granville District Number Register Number
City,Town or_Village 5756 5
Burial4 Date i Cemetery,Crematory or Facility Name
Pica V;e,t Crematory
!Entombment p�^Ye `
lielCrernatior, I Cuac -11;,, Aew York
:[lDona:or
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o'i Removal
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'ci ran_ oo.etior
'5 ------- tih uTerii
7y Ccmmon --
Carrie.- .--- -
Le .netery Address
EDUii..e rent
h rec,etery Address
I t Perk-ermeot
Pei r:,.-!s,.tedto Registration Number
Ne c ,-unerai .. , 00211
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24 __a. L,.zem , York 12846
Na- u - ',,,,oral F __. s-tic.,cr e ;..
it Re ,' : e nr,:u' ..;�vc
5 Adr-ens
CC
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a �c -e s. s, x -. ; . Go: LPs -'t.s of the human remains described above as indicated.
n = a -,-,-, V- Statistics Jenny Linda M Martelle(Electronically Signed)
(signature)
Dis.,-.;:. '-acE own At Granville
c..: ,y ,e ro - . .1. :car a,-ere aisposeo of in accordance with this permit on:
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Z Da •s._i- Jc277j/ P _ ri-position / !!i e IA ev.3 Creoi fi'IVtA
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2 (address)
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CC sec It n) (lot norber) (grave number)
0 \a r;e o to
h e s k1A7 /hON et
(please print)
ril
Sig. = --.— Title O P-e_5-4, `—
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DO -1 _-.
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#