McDermott, Alanna NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Alanna McDermott Female
Date of Death Age If Veteran of U.S.Armed Forces,
10/24/2020 61 Years War or Dates
ZZ Place of Death Hospital,Institution or
City,Town or Village Albany Street Address Albany Medical Center Hospital
ILI
p Manner of Death ❑X Natural Cause 0 Accident 0 Homicide 0 Suicide Li
Undetermined Pending
ILI
o Circumstances Investigation
LU Medical Certifier Name Title
Shellie Asher MD
Address
43 New Scotland Ave,Albany,New York 12208
Death Certificate Filed District Number Register Number
City,Town or Village Albany 0101 2299
0 Burial Date Cemetery,Crematory or Facility Name
10/26/2020 Pine View Crematory
❑Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
Z 0 ni Removal Date Place Removed
and/or and/or Held
~ Hold Address
(0
0
a Date Point of
U) ❑Transportation
p by Common Shipment
Carrier Destination
❑Disinterment
Date Cemetery Address
0 Reinterment
Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care Inc 00364
Address
402 Maple Ave,Saratoga Springs,New York 12866
Name of Funeral Firm Making Disposition or to Whom
f— Remains are Shipped,If Other than Above
Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/26/2020 Registrar of Vital Statistics Da7W85gillispie(E/ctrontcafS rted)
(signature)
District Number 0101 Place Albany, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Il—
Z Date of Disposition /0Ir,11t Place of Disposition
'l �--_-
W 2�r Ivy
2 (address)
W
(I)
CC (section) I (lot number) (grave number)
0 Name of Sexton or Person in Char Qf Premises lVilL., 0„A4-tfr
Z (p ase print) / ;�
lL Signature ( Title G'`"�4i&
DOH-1555(07/18)p i of 2
Public Health Law Sec. 4145(2b) U 1- 1..51
Receipt
Human remains of �+ '`' ` delivered on , 20
`ram I .,
Pine View Cemetery Representing the funera1home named on burial permit
Official Funeral Directors Reg.or License#