Steele, Betty J•/4, 7
NEW YORK STATE DEPARTMENT OF.P. LTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Betty Ruth Steele Female
Date of Death Age If Veteran of U.S. Armed Forces,
06 / 18 / 2016 92 War or Dates
i ;, Place of Death Hospital, Institution or
ZZ City, Town or Village Wilton Street Address 4 Whirlaway Blvd.
a Manner of Death®Natural Cause El Accident ❑Homicide E Suicide Undetermined 7 Pending
U: Circumstances Investigation
w Medical Certifier Name Title
iQ Richard L. Farrell MD
Address
fg
15 Maple Dell # 1, Saratoga Springs, NY 12866
igi Death Certificate Filed District Number Register Number
i City, Town or Village Wilton
`' BU(lal Date Cemetery or Crematory
06 / 20 / 2016 Pine View Crematory
0 Entombment Address
Cremation Queensbury, NY
Date Place Removed
Z❑Removal and/or Held
and/or Address
Hold
Date Point of
Q Transportation Shipment
a by Common Destination
Carrier
Q Disinterment Date Cemetery Address
Q Renterment Date Cemetery Address
< Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care, Inc 00364
iffi Address
402 Maple Ave., Saratoga Springs, NY 12866
iliiil Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
it
ILI
Permission is hereby granted to dispose of the human remains described above
;as�indicated.
Date Issued (�Q I Z J I(� Registrar of Vital Statistics '.(tjj & ( lfi d
Rii, / (signature)
District Number i.lge q Place Wilton , New York
l- I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z
ILI Date of Disposition 6-7-I-/6, Place of Disposition /9 .Q_Ur C!o_rr,E,,4r
ME (addressf
lia
ac (section) (lot number) (grave number)
CIName of Sexton o so ifl Charge of Premises J6.,-b-Lki Ka-ena i4-e
(please
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Signature Title
L�rrto/.-
,..::: print)
(over)
DOH-1555 (02/2004)