Oeinck, Joann i N
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
JoAnn Marie Oeinck Female
iip Date of Death Age If Veteran of U.S. Armed Forces,
10 / 14 / 2015 41 War or Dates
14 Place of Death Hospital, Institution or
WCity, Town or Village Saratoga Springs Street Address Saratoga Hospital
a Manner of Death®Natural Cause 0 Accident 0 Homicide E Suicide ❑Undetermined Pending
Circumstances Investigation
Lij Medical Certifier Name Title
12
Address
s' Death Certificate Filed District Number Regis a Ty5er
City, Town or Village Saratoga Springs W SO!
iii1,0Burial Date Cemetery or Crematory
10 / 15 / 2015 Pine View Crematory
BEntombment Address
Cremation 21 Quaker Road, Queensbury, NY
::::::i Date Place Removed
❑Removal and/or Held
and/or Address
Hold
Date Point of
Q Transportation Shipment
a by Common Destination
jigi Carrier ......
m LiDisinterment Date Cemetery Address
3 Q Reinterment Date Cemetery Address
i.iiiMi Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care 00364
liiii Address
402 Maple Ave. , Saratoga Sp. , NY 12866
iilk Name of Funeral Firm Making Disposition or to Whom
itRemains are Shipped, If Other than Above
Address
: Permission is her by ranted to dispose of the human rem ' ed a indicat . .
Date Issued 1 0 I j Registrar of Vital Statistics
(signature)
ni;]i District Number Li SO I Place Saratoga Springs , New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
k l Date of Disposition )0/I9I/c Place of Disposition IN,It././ �w%..ari,,..-
(address)
la
til
it (section) i (lot number)( (grave number)
ctName of Sexton or Person in Char of Premises /'( tt+� J`�'�&
z. r (p ase print) .
Signature 4" Title 0041
114
(over)
DOH-1555 (02/2004)