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Abbale, Victoria �r NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Victoria C Abbale Female Date of Death Age If Veteran of U.S.Armed Forces, 04/17/2020 72 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital p Manner of Death © Natural Cause Accident Homicide Suicide ❑Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title Mikhail Mavashev MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 228 ❑Burial Date Cemetery,Crematory or Facility Name 04/20/2020 Pineview Crematorium Entombment Address Cremation Queensbury Town,New York Donation z Removal Date Place Removed and/or and/or Held ~ Hold Address N O a. Date Point of N Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Andress Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St,Glens Falls,New York 12801 Name of Funeral Firm Making Disposition or to Whom F-. Remains are Shipped,If Otherthan Above 2 Address ft W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/19/2020 Registrar of Vital Statistics John Paul Franck(Electronically 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: W Date of Disposition L1-ZO-?A Z,0 Place of Disposition t�Q J j C� el— -a✓Y1/ LU /address/ W N (section) (of number/ (grave number) 2 i _ 8 Name of Sexton or Pers i C rge of Premises 1' ! ri vh r'`v�► Z (please print/ IL1 Signature Title C�>°>7'I c(:�Vr DOH-1555(07/18)p 1 of 2 r _ Public Health Law Sec. 4145(2b) 0 13 5 7 21 Receipt Human remains of delivered on , 20_ Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#