Dunphy, Betty NEW YORK STATE DEPARTMENT OFHEALTH ���D�~��� ~ �~�������~� �����R��~�
Bureau cfB�ot��1�m 'Vho Records Section
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Name First Middle Last Sex
BETTY E. DUNPHY
-bate of Death Age If Veteran of U.S.Armed Forces,
2/14/88 75 War or Dates N/A
Place of Death Hospital, Institution or
-:Uj City,Town or Village Street Address
Saratoga Springs
Saratoga HOSPITAL
Cause of Death
CARDIAC ARREST
UJI
Medical Certifier Name
Title
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs
4501
Date Cemetery or Crematory
Burial
2/16/88
Address
F1 Cremation
Place Removed
Date
0 El Removal
and/or Held
Address
Date Point of
f Shipment
Destination
Date
Cemetery Address
El Disinterment
Cemetery Address
Date
El Reinterment
Permit Issued to Registration Number
NomoofFunero|Firm SULLIVAN ]�I0JQl�� & POTTER INC. 02397
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A dress
67 PARK ST. GLENS FALLS NY 12801
4;; Name of Funeral Firm Making Disposition or to Whom
Remains Shipped,
Address
u rn a�n;�a�11 n s C I d a ve as Indicated.
Permission Is hereby granted to dispose of the dea
Date Issued 2/16/88 Registrar of Vital Statistics
District Number 4501 PlaceSuru�o8u Springs �� l2866
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Date cdDisposition Place ofDisposition
LLJ
(address)
LU
(section) (lot number) (grave number)
Name cdSoctonor Person in Charge ofPremises
(please print)
LU
Signo8ura Title