Lincker, Doris T. NEWYORKSTATEDEPARTMENTOFHEALTH + PermJ•it
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Bureau of Vital Records Burial - Transit
Name First Middle Last Sex
Doris T.Linker Female
Date of Death Age If Veteran of U.S.Armed Forces,
11/24/2020 94 Years War or Dates
Place of Death Hoslital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
1.11
p Manner of Death IJ Natural Cause 0 Accident El Homicide 0 Suicide El Undetermined 0 Pending
CCircumstances Investigation
Ui Medical Certifier Name Title
CI Marvin Davidowitz MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed District Number Register Number
City,Town or Village Glens Falls 5601 538
❑Burial Date Cemetery,Crematory or Facility Name
12/01/2020 Pine View Crematory
❑Entombment Address
X❑Cremation Queensbury Town,New York
ElDonation
Z ❑Removal Date Place Removed
and/or and/or Held
i Hold Address
N
0
0. Date Point of
U) ❑Transportation
p by Common Shipment
Carrier Destination
ElDisinterment Date Cemetery Address
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
0-
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 12/01/2020 Registrar of Vital Statistics 96,6ert,,Itrifrew Curtis(IEectronicaQSrgned)
(signature)
District Number 5601 Place Glens Falls, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on.
H
�
Z Date of Disposition 12 I I /70 Place of Disposition ,�
./..A.----
(address)
Ui
CO
CC (section) M number) (grave number)
0 Name of Sexton or Person in Charge f Premises 01 lit VLi J�n4I+
Z (please p 'nt)
W Signature Title Cr t
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) a - - 014248
Receipt
Human remains of F delivered on , ' I 1 , 20
1
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License# / „ s