Pinto, Doris Mae J3)
NE
W YORK STATE DEPARTMENT OF HEALTH Burial of Vital Records - Transit Permit
Name First Middle Last Sex
Doris Mae Pinto Female
Date of Death Age If Veteran of U.S.Armed Forces,
10/13/2020 88 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death J Natural Cause ❑Accident ❑Homicide ❑Suicide El Undetermined ❑Pending
W U Circumstances Investigation
WQ Medical Certifier Name Title
Dean Reali DO
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 526
EjBurial Date Cemetery,Crematory or Facility Name
10/15/2020 Pine View Crematory
0 Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
0 ❑Removal Date Place Removed
and/or and/or Held
Hold Address
N
0
d 1-1 Date Point of
U) ❑Transportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment 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
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped,If Other than Above
Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/15/2020 Registrar of Vital Statistics Jolt,Pau! ranck(Electronrcall:y Signed)
(signature)
District Number 4501 Place Saratoga Springs, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
I—
Z Date of Disposition /Op7r2.423_pj Place of Disposition f;na, 1/11,,a/ C.rcmtl.1.0r>'
2 (address)
W
N
CC (section) (lot number) (grave number)
0 Name of Sexton or Person in Charge of Premises Jc.fM i1 FtS
Z (please print)
W Signature j Title C re,07 Trr
7
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) -,' .. 4:1 pi
i
Receipt
l'.
Human remains of i i ' ' delivered on , 20-.
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License# ,//