Altamari, Louis NEW YORK STATE DEPARTMENT OF HEALT 1 It +
Vital Records Section Burial - Transit Permit
Name First Middle Last Sex
Louis Arthur Altamari Male
Date of Death Age If Veteran of U.S. Armed Forces,
02/01/2014 92 years War or Dates 1942-1946
Place of Death Hospital, Institution or
W XXown or X Glenville Street Address Glendale Home
W ❑ El• Manner of Death ,Natural Cause ❑Accident ❑Homicide ❑SuicideUndetermined ❑Pending
Circumstances Investigation
iii Medical Certifier Name Title
0 Bong K. Yee M. D.
Address
1545 Chrisler Avenue, Schenectady, N. Y. 12303
Death Certificate Filed District Number Register Number
Crown or\AMAX Glenville 4651 9
❑Burial Date . Cemetery or Crematory
❑Entombment 02/03/2014 Pineview Crematory
Address
jj Cremation Queensbury, N Y
Date Place Removed
i ❑Removal and/or Held
and/or Address
F=` Hold
0 Date Point of
ti❑Transportation Shipment
Q by Common Destination
r1p�
❑Disinterment
Date _ _ Cemetery Address ._ ___
❑Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral,Home Compassionate Funeral Care 00364
Address
402 Maple Ave., Saatoga Springs, NY 12866
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
tip
ILI •
Permission is hereby granted to dispose of the human remain d scribed abov as'rnd Cate .
Date Issued" 02/03/2014 Registrar of Vital Statistics /�
(signature)
District Number 4651 Place Glenville
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z I
I Date of Disposition 2/Lf/IN �C,.Place of Disposition u u+w [ ,w-,tar;`
a (address)
ter
(section) (lot numbery- (grave number)
CI Name.of Sexton or Person in Char a of Premises
l my /r iW t
' ► (please print) ,
i Signature Title Cl2i"wi49t
(over)
DOH-1555 (0212004)