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Stenzel, Karen I di 5 g 7 NEW YORK STATE DEPARTMENT ©F HEALTH Vital Records Section Burial - Transit Permit Name First Middle Last Sex Karen G. Stenzel Female Date of Death Age If Veteran of U.S. Armed Forces, 07 / 16 / 2018 72 War or Dates N/A i~ Place of Death Hospital, Institution or Z City, Town or Village Saratoga Springs Street Address LLI26 Tompion Lane 0 Manner of Death E Natural Cause El Accident 11 Homicide El Suicide � Undetermined �Pending 0In Circumstances Investigation w Medical Certifier Name Title 0 Kenneth Schwartz MD Address 377 Church St, Saratoga Springs, NY 12866 >> Death Certificate Filed District Number Register Number City, Town or Village Saratoga Springs ': <=fBurial Date Cemetery or Crematory 07 / 17 / 2018 Pine View Crematory (Entombment Address iiA®x Cremation Queensbury, NY in Date Place Removed Z❑Removal and/or Held and/or Address Hold Date Point of Q Transportation Shipment by Common Destination Carrier }i Disinterment Date Cemetery Address Q Reinterment Date Cemetery Address Nii Permit Issued to 1 Registration Number ip Name of Funeral Home Compassionate Funeral Care J 00364 iiiiii Address >'3 402 Maple Ave., Saratoga Sp., NY 12866 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address Cr ILI Permission is hereby ranted to dispose of the human rem ' sc . ed Ore indicat d. 'iiiit Date Issued 7 16 g Registrar of Vital Statistics 01 ( (signature) District Number `C�b( Place Saratoga Springs , New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: i� Date of Disposition 11/11+g Place of Disposition (,aVv (;,A--- 2 (address) fa, Le (section) (lof umber) (grave number) tzt Name of Sexton or Person in Charge of Premises i(�. Se�•c� 4 z (please print) . Signature Title fa/WO- ,.,:.. ' (over) DOH-1555 (02/2004)