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Willis, Margaret 111 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permi Bureau of Vital Records Name First Middle Last Sex Margaret Willis Female Date of Death Age If Veteran of U.S.Armed Forces, 02/06/2024 94 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Easton Town Street Address 242 Cloister Way, Easton Town,New York 12834 W Manner of Death Undetermined Pending W Natural � lCause Accident Homicide Suicide U Circumstances Investigation W Medical Certifier Name Title O Kristen Kelley DO Address 100 Park St,Glens Falls, New York 12801 Death Certificate Filed Town Of Easton District Number Register Number City,Town or Village 5753 1 Burial Date Cemetery,Crematory or Facility Name 02/08/2024 Pine view crematory Entombment Address ©Cremation Queensbury Town,New York EiDonation 0 Removal Date Place Removed - and/or and/or Held - Hold Address CO 0 Date Point of (J)❑Transportation Shipment p by Common Carrier Destination O Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom i- Remains are Shipped,If Other than Above Address W Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/08/2024 Registrar of Vital Statistics 911eghan cPha(en(ECectronicaCTySigned) (signature) District Number 5753 Place Town Of Easton I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition -/G!2©,7 4,f Place of Disposition e✓ (J;to ,I C rein 4 fie I 2 (address) W CC CC (section) (lot number) (grave number) ciName of Sexton or Person in Ch ge of P,re 'se `7% .111, aD� Z / (please print) W Signature Title 0 erJ � 5' DOH-1555(07/18)p 1 of 2 T. • is .7 7 „+ fE 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#