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Chandler, Eldonna # sU q NEW YORK STATE DEPARTMENT OF HEALT)-I Vital Records Section Burial - Transit Permit `h Name First Middle Last Sex Eldonna Chandler Female ',i'.:-,Z Date of Death Age If Veteran of U.S. Armed Forces, 06/20/2018 88 Years War or Dates Place of Death Hospital, Institution or City, Town or Viiiage Saratoga Springs , Street Address Saratoga Hospital Manner of Death©Natural Cause El Accident p Homicide E Suicide 0 Undetermined ri Pending tjCircumstances Investigation W Medical Certifier Name Title 0 Todd Duthaler DO Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number ' , City, Town or Village Saratoga Springs 4501 347 4�❑Burial Date Cemetery or Crematory 06/22/2018 Pine View Crematory ❑Entombment Address „;®Cremation Queensbury Town, New York Date Place Removed Removal and/or Held and/or Address Hold Date Point of Transportation Shipment by Common Destination CI Carrier Disinterment Date Cemetery Address Q Renterment 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 „k Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above Address Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/21/2018 Registrar of Vital Statistics JohncpEranck(ECectronicaltySigned) (signature) d' District Number 4501 Place Saratoga Springs, New York fI certify that the remains of the decedent identified above were disposed of in accordance with this permit on: 1 Date of Disposition (l(T -ki Place of Disposition P„I, tm *' -, (address) g (section) OJlot number` (grave number) Name of Sexton or Person in Charge of Premi es �hrJtbl�J( �rw (plelase print) Signature M Title .4+41R2 (over) DOH-1555 (02/2004)