Wachter, Albert NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Biostatistics -Vital Records Section
Name First Middle Last Sex
Albert Wachter Male
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Date of Death Age If Veteran of U.S.Armed Forces,
Feb. 4 1989 81 War or Dates No
Z. Place of Death Hospital, Institution or
City,Town or Village Cambridge Street Address Mary McClellan Hospital
Cause of Death
Cardiac Arrest
Lail Medical Certifier Name Title
p; William Carroll Do
Address':::::.......................................................................................................................................................................................................
88 Main Street Greenwich , New York 12834
Death:.Ce...ifi:._::. .. .......................
Certificate Filed District Number Register Number
City,Town or Village
Burial Date Feb. 8, 1989 Cer�lQte��r Crw ory
Yin iew r matory
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Address .................:........
. .................: .........
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®Cremation Town of Queensbury, NY
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Z Date Place Removed
O; ❑ Removal and/or Held
and/or Hold ::::........:....... ......... ::::::.::::::............::::::::::::::...........:...........:,:::.:::::,::...............
:::::
Address
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p. Date Point of................................................................................................................................
cni []Transportation by:. ; Shipment
Common
p mon Carrier ........................ ...
:. Destination
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❑ Disinterment ; Date Cemetery Address
Date:::::..................................................... .. .......................................................................................................
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.. ..................
❑ Reinterment Cemetery Address
Permit Issued to Registration Number
Name of Funeral Firm Flynn Bros. Inc.
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_..............__._... ........ ..............._ ...... . 29
Address
.:::::.::::::::::::.:::13:::Gates....Ave......::.Schu .lerville. NY.......1.2871........................................y.........................................................................................::::::::::......::::..::,:::..::::::::::::..........._::::::: :::::::::.:::::::::::::.
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped, If Other than Above
Address
>t
Permission is hereby granted to dispose of the human remains described above as Indicated.
Feb. 6 Date Issued , 1989 Registrar of Vital Statistics
n (signature)
€< District Number Place 2�!v /IAL 61
1 certify that the remains of the decedent identified above were disof
in accordance with this permit on:
W: Date of Disposition `/ g Place of Disposition /'/r/1/k�/
(address)
w
(section) (lot number) (grave number)
57/
pi Name of Sexton o arson in harge of P emises
Z (please Pr —
w Signature )mt
DOH-1555(9/86)p 1 of 2(formerly VS-61)