Kakely, Frank J. NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Frank J.Kakely Male
Date of Death Age If Veteran of U.S.Armed Forces,
02/12/2020 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 91 Natural Cause Accident Homicide ❑Suicide Undetermined Pending
UCircumstances Investigation
WQ Medical Certifier Name Title
Enrico Bravo MD
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 99
Burial Date Cemetery,Crematory or Facility Name
02/14/2020 Pine View Crematory
Entombment Address
0 Cremation Queensbury Town,New York
Donation
OZ Removal Date Place Removed
and/or and/or Held
H CO) 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 100364
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
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/13/2020 Registrar of Vital Statistics .70lan PPaulFraack(E&tronicaf St rxed)
(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:
l`
Z Date of Disposition Z/ly)20 Place of Disposition , ,"
W
2 (address)
W
CO)
X (section) I (lot flu mbe (grave number)
aName of Sexton or Person in Charge of Premises ROA
Z ( ease pant)
W Signature �/1 Title
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) r 013 3 415
Receipt
Human remains of " ? delivered on , 20 `*
7
Pine View Cemetery Representing the funeral home named on burial"permit
Official Funeral Directors Reg.or License#