Ringwald, Drusilla '�= # 75
NEW YORK STATE DEPARTMENT OF HEALTH a
Vital Records Section Burial - Transit Permit
Name First Middle ~ Last Sex
Drusilla J. Ringwald Female
Date of Death Age If Veteran of U.S. Armed Forces,
09/17/2018 87 Years W C.Dates
Place of Death Hospital, Institution or
City, Town or Village Saratoga Springs Street Address Saratoga Hospital
Manner of Death X❑ Natural Cause n Accident El Homicide n Suicide D Undetermined ❑Pending
Circumstances Investigation
Medical Certifier Name Title
Todd Duthaler DO
4 Address
211 Church St,Saratoga Springs, New York 12866
Death Certificate Filed District Number Register Number
u City, Town or Village Saratoga Springs 4501 507
o' Date Cemeteryor Crematory
*LJBurial
09/18/2018 Pine View Crematory
`;=0 Entombment
jt. Address
r, ®Cremation Queensbury Town, New York
Date Place Removed
n Removal and/or Held
and/or
Address
Hold
Date Point of
❑Transportation Shipment
by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment,c El Date Cemetery Address
c Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care Inc 00364
Address
OA 402 Maple Ave,Saratoga Springs,New York 12866
ba Name of Funeral Firm Making Disposition or to Whom
'; Remains are Shipped, If Other than Above
Address
•
s Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 09/19/2018 Registrar of Vital Statistics John cP cEranck(Electronicalty 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:
1 Date of Disposition l II'11 g Place of Disposition ?Nl),J eir..kcr
(address)
,a (section) it(lot number (grave number)
•
44 Name of Sexton or Person in Charge of Premises r
L �rr,,h
(pl ase print)
it
Signaturei Title Auilit-
(over)
DOH-1555 (02/2004)