Torrance, Barbara . (O
NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Barbara Torrance Female
Date of Death Age If Veteran of U.S.Armed Forces,
01/02/2020 95 Years War or Dates
Place of Death Hospital,Institution or
W City,Town or Village Saratoga Springs Street Address 400 Church Street Apt 113E,Saratoga Springs,New York 12866
p Manner of Death Natural Cause Accident ❑Homicide ❑Suicide Undetermined Pending
V Circumstances Investigation
LU Medical Certifier Name Title
Tracey Brennan MD
Address
324 West Avenue,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 5
❑Burial Date Cemetery,Crematory or Facility Name
01/03/2020 Pine View Crematory
Entombment Address
0 Cremation Queensbury,New York
❑Donation
ZO Removal Date Place Removed
and/or and/or Held
F N Hold Address
O
d Date Point of
N ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment
Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care Inc 00364
Address
402 Maple Ave,Saratoga Springs,New York 12866
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped,If Other than Above
Address
lZ
W
(L Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 01/03/2020 Registrar of Vital Statistics J,,f-PPaulFranck(Electronicad Stgne-�
(signature/
District Number 4501 Place Saratoga Springs, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z Date of Disposition tc, Place of Disposition `1J- r I e �yrtA
(address)
W
N (section/ (/ot nu h (grave number)
aName of Sexton or Person in Cha ye ofjPrees 1E-
Z (please print)
W Signature Title
DOH-1555 L
(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 0 1_3 2 0 4
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#