Post, Evelyn h"%Ok
I ,
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Evelyn Post Female
<` Date of Death Age If Veteran of U.S. Armed Forces,/
07 / 21 / 2018 79 War or Dates i\/
-, Place of Death Hospital, Institution or
W City, Town or Village Milton Street Address 479 Rowland Street
p Manner of Death®Natural Cause 0 Accident 0 Homicide 0 Suicide '—'Circumstances Undetermined 0 Pending
> Investigation
W Medical Certifier Name Title
Q Deborah Sculco MD
Address
4988 NY-30, Amsterdam, NY 12010
Death Certificate Filed District Number Register Number
City, Town or Village Milton
In Burial Date Cemetery or Crematory
07 / 23 / 2018 Pine View Crematory
iigii(Entombment- Address
Vii 0Cremation Queensbury, NY
Ug Date Place Removed
❑Removal and/or Held
and/or Address
t Hold
V.
99 Date Point of
t
Transportation Shipment
ES by Common Destination
gi Carrier
f 0 Disinterment Date Cemetery Address
Q Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care 00364
Address
402 Maple Ave., Saratoga Sp., NY 12866
$11.11.ii Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
;; Address
ir.
ILI
04: Permission is hereby granted to dispose of the hu r m "ns descri bove as indicated.
Date Issued .,1a31v? Registrar of Vital Statis ics
iia (signature)
i District Number b' Place Milton , New York
` I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z
tit Date of Disposition '—.LS—t`; Place of Disposition p it)c, ittv Gre/ncrtkcY
a (address)
ill
N
CC (section) (lot number) (grave number)
CIName of Sexton or Person in Charge of Premises '. J r—rt4g.Y 1S
Z (please print) •
• Signature Title4t;;i.;t-/
(over)
DOH-1555 (02/2004)