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McFarren, Angelina
(14 Et- NEW YORK STATE DEPARTMENT OF HEALTH /c"' Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Angelina McFarren Female Date of Death Age If Veteran of US.Armed Forces, 02/06/2024 89 Years War or Dates F Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital p Manner of Death ❑X Natural Cause Accident 0 Homicide Suicide Undetermined Pending W Circumstances Investigation 0 Medical Certifier Name Title Abigail Macomber PA Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 81 Burial Date Cemetery,Crematory or Facility Name 02/09/2024 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation 6❑Removal Date Place Removed c and/or and/or Held L- Hold Address 0 O. Date Point of CO JTransportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address ElReinterment 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 I— Remains are Shipped,If Other than Above 2 Address IX W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/09/2024 Registrar of Vital Statistics Wagon Wolin(ECectronicallySigned) (signature) District Number 5601 Place City Of Glens Falls I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z W Date of Disposition Z1 13 17,i Place of Disposition fTi✓Evt�...y a:4 1 ., 2 (address) W Cl) CC (section) (lot,number) (grave number) SName of Sexton or Person in Charge of miles /At) Stit Wlease print/ Signature Title GpM►rrez DOH-1555 Io7/t8)p 1 of 2 S. 5ryy �^ Public Health Law Sec. 4145(2b) Receipt 1 Human remains of delivered on _, 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg. or License#