Reidy, William •
NEW YORK STATE DEPARTMENT OF HEALTH - ,L 7�I
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
William Joseph Reidy Female
z> Date of Death Age If Veteran of U.S. Armed Forces,
12/09/2014 87 years. War or Dates 1944-1946
} Place of Death Hospital, Institution or
W City, TovaJijfX Saratoga Snrings Street Address Wed- al h Carc C r. I
o Manner of Death❑,latural Cause E Accident ❑Homicide ❑Suicide • i ndtetermined Pending
ILt Circumstances Investigation
tu Medical Certifier Name Title
L" Ma#hPws.. PaArier M D
Address
131 Lawrence Street, Saratoga Springs, NY 12866
Death Certificate Filed District Number Register Number
City, ToviagonlIgeXX Saratoga Springs 4501 548
❑Burial Date Cemetery or Crematory
DEntombment 1 ( 14 Pine View Crematory
Address
❑,Premation Queensbury, N Y
Date Place Removed
E❑Removal and/or Held
and/or Address
I= Hold
Cl)
0 Date Point of
CI ri
0 Li Transportation Shipment
C by Common Destination
Carrier
❑Disinterment Date Cemetery Address
❑Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Compassionate Care, Inc 00364
Address
402 Maple Avenue, Saratoga Springs, N Y 12866
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
a Address
IX
ILI
Permission is hereby granted to dispose of the human remains 'be abo t " dicated.�
Date Issued 12/10/2014 Registrar of Vital Statistics 1
(signature)
District Number 4501 Place Saratoga Springs
r.: I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
ILI Date of Disposition ILI ItJ,9 Place of Disposition -go,(r:_i Cri.1c'wv
2 (address)
t; i
CC (section) z (lot number) (grave number)
ci Name of Sexton or Person in Charge of Premises Lop
4L--- (please print)
l Signature Title (11/k vi
(over)
DOH-1555 (02/2004)