Doyle, Patricia J, NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Patricia J.Doyle Female
Date of Death Age If Veteran of U.S.Armed Forces,
01/03/2020 84 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc
WW Mannerof Death
Natural Cause Accident Homicide Suicide Undetermined ❑Pending
U Circumstances Investigation
QW Medical Certifier Name Title
Brittany Miske NP
Address
131 Lawrence St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 4
❑Burial Date Cemetery,Crematory or Facility Name
01/03/2020 Pine View Crematory
Entombment Address
)C Cremation Queensbury,New York
Donation
OZ Removal Date Place Removed
and/or and/or Held
~ Hold Address
N
O
IL Date Point of
(A ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment
Date Cemetery Address
j0Reinterment 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 orto Whom
F Remains are Shipped,If Other than Above
Address
lY
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 01/03/2020 Registrar of Vital Statistics ,74,7Oa&'Fhanck(i&tromi of Signed/
(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 T O Place of Disposition
W t J d«✓�
(address)
W
N (section) (lot number) (grave number)
0 Name of Sexton or Person in Charge of Premises t.
(p a'e print/
Z
W Signature t Title iphfimpax
DOH-1555(o7/18)p 1 of 2
Public Health Law Sec. 4145(2b) a 13 2)1)J
Receipt
Human remains of a ��� ` delivered on /f ' , 20
1
Pine'View Cemetery (Representing&funeral home named on burial permit
Official Funeral Directors Reg.or License#