Stradt, Walter NEW YORKSTATE DEPARTMENT OF HEALTH BUrIa� - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Walter Stradt —7Male
Date of Death Age If Veteran of U.S.Armed Forces,
05/04/2020 84 Years War or Dates
i— Place of Death Hospital,Institution or
WCity,Town or Village Milton Town Street Address Gateway House of Peace
p Mannerof Death ❑X Natural Cause ❑Accident Homicide Suicide Undetermined Pending
UCircumstances Investigation
LLIQ Medical Certifier Name Title
John Pezzulo DO
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Ballston Spa 4561 24
Burial Date Cemetery,Crematory or Facility Name
05/06/2020 Pine View Crematory
Entombment Address
RI Cremation Queensbury Town,New York
Donation
0 ❑Removal Date Place Removed
and/or and/or Held
~ Hold Address
N
O
d Date Point of
N ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
jE1Reinterment 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
H Remains are Shipped,If Other than Above
Address
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W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 05/06/2020 Registrar of Vital Statistics Brenda-"iowe(Electronicad Srtned)
(signature)
District Number 4561 Place Ballston Spa, 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 5_�_�j� Place of Disposition
2 (addres
W
It N (section) (lot number/ (grave number)
GName of Sexton or Perso 'n Char a of Premises `) ih r 'rG`�7 C, s-+7
Z (please print)
W Signature Title
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) t j 3 3
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial.permit
Official Funeral Directors Reg.or License#
1