Stowell, Linda 4
NEW YORK STATE DEPARTMENT OF HEALTH t y
Vital Records Section Burial - Transit Permit
Mii Name First Middle Last Sex
Linda Stowell Female
Date of Death Age If Veteran of U.S. Armed Forces,
11 / 23 / 2017 70 War or Dates N/A
f. Place of Death Hospital, Institution or
Z City, Town or Village Saratoga Springs Street Address 16 Ward St.
itia Manner of Death®Natural Cause E Accident El Homicide E Suicide 0 Undetermined �Pending
US Circumstances Investigation
in Medical Certifier Name Title
44 Paul E. Gebhard MD
Address
VA 1 West Ave, Saratoga Springs, NY 12866
'< Death Certificate Filed "District Number 1.150 Register Number
>< City, Town or Village Saratoga Springs ��
<`` Burial Date Cemetery or Crematory
11 / 27 / 2017 Pine View Crematory
(Entombment Address
iiii! !Es; Cremation Queensbury, NY
Date Place Removed
❑Removal and/or Held
and/or Address
Hold
0. Date Point of
Q Transportation Shipment
by Common Destination
iM Carrier
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
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
it
w
Permission is h reby anted to dispose of the human re ains s 'bed-erO s indic d.
ig Date Issued 11 21 i1-- Registrar of Vital Statistics
(signature)
District Number 1.•1 I Place Saratoga Springs , New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
t Date of Disposition I!/291n Place of Disposition F.,.. "' f"►..dtot,L.
(address)
0
(section) �j (lot numbe(t (grave number)
c` Name of Sexton or Person in Charge of P emises Ilinr 3 "4101
(pase print) •
i Signature �" Title /I f�ita,-
9 1
(over)
DOH-1555 (02/2004)