Winslow, Natalie Theresa NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Natalie Theresa Winslow __T_ Female
Date of Death Age If Veteran of U.S.Armed Forces,
01/28/2020 79 Years War or Dates
F Place of Death Hospital,Institution or
WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death Natural Cause Accident ❑Homicide 1:1Suicide Undetermined El Pending
tL Circumstances Investigation
U
QW Medical Certifier Name Title
Romel Gobunsuy MD
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 67
Burial Date Cemetery,Crematory or Facility Name
02/05/2020 Gerald B.H.Solomon Saratoga National Cemetery
Entombment address
XICremation Schuylerville Village,New York
Donation
ZO Removal Date Place Removed
F and/or and/or Held
N Hold Address
O
d Date Point of
NFITransportation
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 700364
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
Ir
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/03/2020 Registrar of Vital Statistics .7o,&PPaul!ftark(EYectronicad S#ned)
(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:
F—
WDate of Disposition /s Z Place of Disposition
2 (address)
W
N
M (section) (tot number) (grave number)
0 Name of Sexton or Person in Charge of Premises to 6L 1la!
Z � /-Ar—
/p aseprint/
W Signature Title Af OWL
DOH-1555(07/18)p t of 2
Public Health Law Sec. 4145(2b) 13314
� a
Receipt
t i
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#