Gillio, Margaret NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Margaret Gillio Female
Date of Death Age If Veteran of U.S.Armed Forces,
03/25/2020 75 Years War or Dates
F Place of Death Hospital,Institution or
WCity,Town or Village Easton Town Street Address 1082 State Route 40,Easton Town,New York 12834
p Mannerof Death ❑X Natural Cause Accident Homicide 1:1Suicide Undetermined Pending
LLI0 Circumstances Investigation
QW Medical Certifier Name Title
Marianne Mustafa MD
Address
6 Medical Park Drive 208,Malta Town,New York 12020
Death Certificate Filed District Number r gister Number
City,Town or Village Greenwich 5753
Burial Date Cemetery,Crematory or Facility Name
03/30/2020 Pine View Crmeatory
Entombment Address
Cremation Queensbury Town,New York
Donation
ZO Removal Date Place Removed
and/or and/or Held
~ Hold Address
N
O
IL Date Point of
CO) 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
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/30/2020 Registrar of Vital Statistics Meglran( alen(EYectronicad So-d)
(signature)
District Number 5753 Place Greenwich, 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 3 131Zd Place of Disposition , c;y1
W
IL
2 (address)
W
CO) (section) (lot number) (grave number)
aName of Sexton or Person in Charge of Premises r J-4A
Z lease print/
W Signature Title
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 0134,68
Receipt
Human remains of delivered on , 20
i
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License# x f