Sorano, Matthew NEW YORK STATE DEPARTMENT OF HEALTH tt 7S1'
Vital Records Section Burial - Transit Permit
r Name First Middle Last Sex
fMatthew P. Sorano Male
r f Date of Death Age If Veteran of U.S. Armed Forces,
.r March 30, 2015 21 War or Dates n/a
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Place of Death Hospital, Institution or
City, Town or Village Saratoga Springs Street Address Saratoga Hospital
Manner of Death I AT Natural Cause Accident I I Homicide Suicide Undetermined Pending
Circumstances Investigation
Medical Certifier Name Title
;a., Michael Sikirica,MD
Address
$�Waterford,NY
.; Death Certificate Filed District Number Register Number
City, Town or Village Saratoga,NY 4501 f O3
❑Burial Date Cemetery or Crematory
April 3, 2015 Pine View Crematory
❑Entombment Address
❑x Cremation Quaker Road, Queensbury, NY 12804
Date Place Removed
Z Removal and/or Held
and/or Address
Hold
CO
O Date Point of
4; Transportation Shipment
p by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment
Date Cemetery Address
s Permit Issued to Registration Number
r Name of Funeral Home Regan & Denny Funeral Home 01444
..:. Address
; ;J 94 Saratoga Avenue, South Glens Falls,NY 12803
rr;:d Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
1
{r Permission is hereby granted to dispose of the human remai es ib ab ' dicate
::.J Date Issued Li- 2.—/S Registrar of Vital Statistics
'err' (signature)
District Number 4501 Place Saratoga,NY
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
W Date of Disposition 9/3j tc Place of Disposition ' ont1/N C,,,.1,,,,„-
• 2 (address)
11.1
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CG (section) (lot number (grave number)
ca Name of Sexton or Person in Charge of Premises t4r+,
Z (p se pnn)
Signature 4... Title 11t41i► "
(over)
DOH-1555(02/2004)