Santaniello, Anthony 72
NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Burial - Transit Permit
Name First Middle Last I Sex
Anthony J. Santaniello Male
Date of Death Age If Veteran of U.S. Armed Forces,
07 / 20/ 2017 63 War or Dates No
F- Place of Death Hospital, Institution or
Z City,Town or Villa e City of Albany Street Address Albany Medical Center Hospital
ip Manner of Death Q Natural Cause ®Accident 0 Homicide 0 Suicide 0 Undetermined Pending
Circumstances Investigation
W Medical Certifier Name Title
G Jeffrey D. Hubbard M.D.
Address
112 State St. , Albany, NY 12207
Death Certificate Filed District Number Register Numbe
- `: City,Town or Village City of Albany 0101 KS)
Burial Date 07 / 25 / 2017 Cemetery or Crematory
Pine View Crematory
B Entombment Address
'': f Cremation Queensbury, NY
•
ZDate Place Removed
Z❑Removal , and/or Held
... and/or Address
Hold
O Date Point of
N0 Transportation Shipment
d by Common Destination
Carrier
il
Disinterment Date Cemetery Address
0 Reinterment Date Cemetery Address
1
Permit Issued to I Registration Number
W= Name of Funeral Home Alexander-Baker Funeral Home 1 00037
Address
`' 3809 Main Street, Warrensburg, NY 12885
Al Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
2 Address
IC
WI
0.
Permission is herebyp, granted to dispose of the human re�at s describe. =b•ve as i icated.
1 ' Date Issued 7/25/2017 Registrar of Vital Statistics ( % + P r ( )c (c ,
signature) �1
District Number 0101 Place city o A any , New York �J
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
W Date of Disposition %7`/7 Place of Disposition Pt-h o-�J ;- L re,,yi
/ (address)
(13
QIC (section) (lot numb r) (grave number)
Name of Sexton or ' Charge of Premises • .3 ts-/ •art oet,rn A.4,4 Z-
Z (please pant) .
ill Signature Title 6.tGr77t4.-k r
•
(over)
DOH-1555 (02/2004)