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Bannister, Aubree J
• # 6 ."Fz.*) NEW YORK STATE DEPARTMENT OF HEALTH - Transit/ Pe mit Bureau of Vital Records Burial Name First Middle Last Sex Aubree J.Bannister Female Date of Death Age If Veteran of U.S.Armed Forces, 02/07/2024 38 Years War or Dates F— Place of Death Hospital,Institution or Z City,Town or Village South Glens Falls Village Street Address 8 3rd Street, South Glens Falls Village, New York 12803 Iw Manner of Death Undetermined Pending W �Natural Cause Accident �Homicide �Suicide � � Circumstances Investigation W Medical Certifier Name Title O Susan Hayes-Masa Coroner Address 40 McMaster Street,Ballston Spa Village,New York 12020 Death Certificate Filed Village Of South Glens Falls District Number Register Number City,Town or Village 4524 02 Burial Date Cemetery,Crematory or Facility Name 02/13/2024 Pine View Crematory Entombment — Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed and/or and/or Held H Hold Address N 0 a Date Point of Cl)0Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom h- Remains are Shipped,If Other than Above - Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/12/2024 Registrar of Vital Statistics Samantha Berg(ECectronicaCCy Signed) (signature) District Number 4524 Place Village Of South Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Ih— Z Date of Disposition 21 lK tit( Place of Disposition ' ter.+ e inArj mU W 2 (address) W CC (section) 710. (iot number) (grave number) SName of Sexton or Person in Charge of Premises L- w. H Z (pl se print) W Signature Title � �� DOH-1555(07/18)p 1 of 2 ' a-,, I 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#