Spadaro, Joseph l`f Z—__.
NEW YORK STATE DEPARTMENT OF HEALLH _
Vital Records Section Burial - Transit Permit
i,iil!!i Name First Middle Last Sex
Joseph J. Spadaro Male
Date of Death Age If Veteran of U.S. Armed Forces,
Ad",03/21/2008 3 fp 89 years War or Dates1943-45 t/jw,i ji4& �%�
-4/ /
"
Place of Death Hospital, Institution or
UPTown or VT, Colonie Street AddressAlbany County Nursing Home
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Manner of Death Natural Cause 0 Accident El Homicide 0 Suicide Undetermined ri Pending
Circumstances Investigation
ul Medical Certifier Name Title
t0 L Krapin Md
Address
780 Albany-shaker Road, Albany, Ny 12211
iligi Death Certificate Filed District Number Register Number
OttiVrown or WNIXNIX Colonie 153 61
•❑13 rial Date Cemetery or Crematory
03/27/2008 Pine View Crematory
Entombment Address
:;:❑Cremation Queensbury, New York
Date Place Removed
Z Removal and/or Held
❑and/or
�;,; Address
f: Hold
0 Date Point of
Transportation Shipment
C by Common Destination
Carrier
Q Disinterment Date Cemetery Address
Q Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral HomeEdward L. Kelly Funeral Home 0529
i' Address
1019 US RTE 9 Schroon Lake, New York
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
a Address
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9:" Permission is hereby granted to dispose of the human r ins described bove as indicated.
Date Issued 03/22/2008 Registrar of Vital Statistics izizb. L�
(signature)
District Numbef53 Plas lonie
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
k
ILI Date of Disposition 3/-t")ILI i, Place of Disposition 741)0 ,,e. (;`c rr'i+V r, ,,".
2 (address)
tta
CC (section) (lot number) (grave number)
Name of Sexton or Person in Charge of Premises a r's Se r,"4 et-
(please print)
Signature _ E.�11_. A:� '"'� Title �* ^'�'v
(over)
DOH-1555 (02/2004)