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Gregory, Mary NEW YORK STATE DEPARTMENT OF-HEALTH lit 1011 Vital Records Section Burial - Transit Permit GregoryName First Middle " . Last Sex A Mary 41 Date of Death Age If Veteran of U.S. Armed Forces, 1 1 or Dates .-:-.: Place of Death Hospital, Institution or ;-:-.', City, Town or Village saratoga springs Street Address Saratoga Hospital -17 Manner of Death © Natural Cause 0 Accident 0 Homicide 0 Suicide El Undetermined Saratogaup Medical Certifier Name Title Springs,New York :.. ,.1• Death Certificate Filed District Number Register Number ,:-i'a City, Town Or Village Saratoga Springs 4501 424 .Burial Date Cemetery or Crematory 07/31/2018 Pine View Crematory NCremation Queensbury Town, New York • Removal■ Place. • Held • • . c., Date Point of w ■ Transportation Shipment by • • Destination ;il, Carrier Date Cemetery Address ' -10 Disinterment ■ - - - Dat- CemeteryAddress s,,,i Permit Issued to Registration Number • , Name of Funeral Home Compassionate Funeral Care Inc 00364 . 402 Maple Ave,Saratoga Springs,New York 12866 ,, ; Name of Funeral Firm Making Disposition or to Whom !=,4.7 Remains are Shipped, If Other than Above a Address livoi --,1 Permission is hereby granted to dispose of the human remains described above as indicated. 7:,1 Date Issued 07/30/2018 Registrar of Vital Statistics John TEranck(Ekctronicalty Signed) S‘; District Number 4501 Place Saratoga Springs, New York '--1'.' I Certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Ill Date of Disposition g hilt Place of Disposition (74..V-1 Ch,:ta—w 2 (address) EL (section) (lot nuTter) f. (grave number) 14 z.-.• Name of Sexton or Person in Charge of Premises liNtik _N t,..,10- • - I (over) DOH-1555 (02/2004)