Kaye,Alvin Abba 45 �
NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Alvin Abba Kaye
Male
Date of Death Age If Veteran of U.S.Armed Forces,
04/24/2020 92 Years War or Dates 1945-1946
F Place of Death Hospital,Institution or
Z City,Town or Village Wilton Town Street Address 2006 Heritage Way,Wilton Town,New York 12831
W
p Mannerof Death Natural Cause Accident Homicide El Suicide Undetermined Pending
91 Circumstances Investigation
WMedical Certifier Name Title
John Mongan DO
Address
3 Care Lane,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Gansevoort 4569 115
❑Burial Date Cemetery,Crematory or Facility Name
04/28/2020 Pine View Crematory
Entombment Address
RI Cremation Queensbury,New York
❑Donation
ZO Removal Date Place Removed
and/or and/or Held
H 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
cc
W
(L Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 04/28/2020 Registrar of Vital Statistics Sruan Baffrnn(EYectronkalySy-e4
(signature)
District Number 4569 Place Gansevoort, 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 ��-2 ,'7,U --lace of Disposition 7 !V1�t �I J (
ZA
2 (Address)
W
CO)
� ( lion) (lot number) /grave number)
0 Name of Sexton or Per in C�h ge of remises l) GVl��tv�VVlCt�
Z i/ �V'" v
W Signature � � Title
DOH-1555(07/18)p 1012
Public Health Law Sec. 4145(2b) 0113
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named'on burial permit
Official Funeral Directors Reg.or License# �f ! '