Goodwin, Howard Lee NEW YORKSTATE DEPARTMENT OF HEALTH BUriat - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Howard Lee Goodwin I Male
Date of Death Age If Veteran of U.S.Armed Forces,
05/16/2020 76 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Albany Street Address Albany Medical Center Hospital
p Mannerof Death Natural Cause Accident Homicide Suicide Undetermined Pending
W Circumstances Investigation
U
W Medical Certifier Name Title
Lillian Lewis MD
Address
43 New Scotland Ave,Albany,New York 12208
Death Certificate Filed District Number Register Number
City,Town or Village Albany 0101 1120
Burial Date Cemetery,Crematory or Facility Name
05/18/2020 Pine View Crematory _
Entombment Address
0 Cremation Queensbury Town,New York
ElDonation
ZO Removal Date Place Removed
and/or and/or Held
F-N Hold Address
O
a. Date TS
t of
N Transportation ment
p by Common
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 orto Whom
Il— Remains are Shipped,If Other than Above
2 Address
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W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 05/18/2020 Registrar of Vital Statistics DDanje&S jnikspw(EYectronrcad Signed)
(signature)
District Number 0101 Place Albany, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on::
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Date of Disposition s-/ -'ZGt Z�J Place of Disposition iZiC1 �J{ C..J
W (address)
W
U) (section) lot number) (grave
(grave number)
0 Name of Sexton or Person- Ch e o re ' es �r"' �t �'� ""`�"
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W Signature m
Title
DOH-1555(o7/18)p t z
Public Health Law Sec. 4145(2b) , 13 E"!� t
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#