Cardone, Eleanor 4 .763
NEW YORK STATE DEPARTMENT OF HEALTH, . .
, .
.,
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Eleanor M. Cardone Female
Date of Death Age If Veteran of U.S. Armed Forces,
09 / 24 / 2015 89 - .,. War or Dates
Place of Death Hospital, Institution or
Z City,
Town or Village Saratoga Springs Street Address Saratoga Hospital
Ili
0 Manner of Death rIllo Natural Cause 0 Accident E Homicide E Suicide 7 Undetermined 7 Pending
ISI 'Circumstances --''Investigation
tu Medical Certifier Name Title
0
Address
Death Certificate Filed District Number Registeri ner
0;! City, Town or Village Saratoga Springs j-1 S r)( Li
EI Burial Date Cemetery or Crematory
9 /0 / 0 5 24 21
.=,_ Pine View Crematory
ffiLJEMombmeM Address
EICremation Queensbury, NY
!M Date Place Removed
ri Removal and/or Held
"land/or Address
rZ Hold
Olj.
W:,.. Date Point of
a0 Transportation Shipment
-la by Common Destination
Carrier
......
Date Cemetery Address
Ei. 0 Disinterment
r—i Date Cemetery Address
Il L j 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
t Remains are Shipped, If Other than Above
Address
CC
la . .
Permission is h „2re.b7<y iranted to dispose of the human remain 'b aboura ' icated.
ci
..-•-
44 Date Issued : Registrar of Vital Statistics
(signature)
District Number itc(2)1 Place Saratoga Springs , New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
el-s /1
la Date of Disposition 91/31(S- Place of Disposition Ldirr-41011u-s,
(address)
fill
0
ar (section) (lot number)r (grave number)
0 1- ittentiV
ci Name of Sexton or Person . Charge f Premises - .
/4
Z z. lease print) •
tg
:•,-,::: Signature (Waft .
....„. . Title
(over)
DOH-1555 (02/2004)