Cruger, Daonna - z9 /
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Donna Cruger Female
Date of Death Age If Veteran of U.S. Armed Forces,
04 / 06 / 2018 68 War or Dates N/A
'i-- Place of Death Hospital, Institution or
ZCity, Town or Village Albany Street Address Albany Medical Center
CIManner of Death Natural Cause 0 Accident Homicide E Suicide �Undetermined Pending
Circumstances Investigation
O.
ui Medical Certifier Name Title
Bhumi J. Patel MD
Address
Fee 43 New Scotland Ave. , Albany, NY 12208
Death Certificate Filed District Number Register Number
in City, Town or Village Albany b1`n15
iiizoBurial Date Cemetery or Crematory
04 / 10 / 2018 Pine View Crematory
0 Entombment Address
ECremation Queensbury, NY
Date Place Removed
Z❑Removal 1 and/or Held _
and/or Address
b Hold
Cl Date Point of
Q Transportation Shipment
Es by Common Destination
Mi Carrier
Q Disinterment Date Cemetery Address
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Q Reinterment Date Cemetery Address
aii Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care 00364
iliM Address
402 Maple Ave. , Saratoga Sp. , NY 12866
:s Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
E Address
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'` Permission is hereby granted to dispose of the human remai escribed ab ye as indicated.
ti Date Issued O y o 3:tegistrar of Vital Statistics
(si
ii District Number 01 01 Place Alban , New Yor
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
la▪ Date of Disposition �i//v/`Q Place of Disposition > 1, Qv, .ti G G,,�2/
/ (address)
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lE (section) (lot umber) (grave number)
Name of Sexton or Perso Charge of Premises .w Zia ,,
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• Si• nature z, Title le y`''� `
(over)
DOH-1555 (02/2004)