Cardillo, Barbara , I651—
NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Barbara M. Cardillo Female
Date of Death Age If Veteran of U.S.Armed Forces,
09/11/2016 77 War or Dates No
I— Place of Death Hospital, Institution
W City, Town or Village City of Albany or Street Address Albany Medical Center
a Manner of Death ❑ Natural I� Accident ❑ Homicide ❑ Suicide ❑ Undetermined ❑ Pending
III Cause Circumstances Investigation
W Medical Certifier Name Title
p Carrie M. Reynolds MD
Address
43 New Scotland Ave. Albany, NY 12208
Death Certificate Filed District Number Register Number
City, Town or Village City of Albany 101 1874
Date Cemetery or Crematory
❑ Burial 09/14/2106 Pineview Crematory
0 Entombment Address
® Cremation Town of Queensbury, NY
Date Place Removed
Z Removal and/or Held
O ❑ and/or Address
N Hold
O Date Point of
d Transportation Shipment
Cl) ❑ By Common p Carrier Destination
❑ Date Cemetery Address
Disinterment
Date Cemetery Address
❑
Reinterment
Permit Issued To Registration Number
Name of Funeral Home Compassionate Funeral Care, Inc. 00364
Address
402 Maple Ave. Saratoga Springs, NY 12866
Name of Funeral Firm Making Disposition or to Whom
._
Remains are Shipped, If Other than Above
2 Address
LL
11- Permission is hereby granted to dispose of the human remains descr ed above as indicate o
Date 09/13/2016 Registrar of Vital Statistics ^,�^ . '`',_"," .,
Issued signature)
District Number 101 Place City of Albany, NY
I certify that the remains of the decedent identified above were disposed of in accordance( with this permit on:
Z Date of Disposition iisit� Place of Disposition - /t�=nL()t w tr JfT�,
w (address)
2
ut
CO
cc (section) (lot number) (grave number)
O
0
W Name of Sexton or Person in Charge of Premises dtticeLr' .Si;�f-°ti
(please print)
Signature et _, Title CKErle12
(over)
DOH-1555 (02/2004)