Igoe Jr., Frank Joseph { H2j'o
NEW YORK STATE DEPARTMENT OF HEALTH - •'� Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Frank Joseph Igoe Jr. Male
Date of Death Age If Veteran of U.S.Armed Forces,
11/23/2020 84 Years War or Dates 1957-1959
i_ Place of Death Hospital,Institution or
WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death Ei Natural Cause El Accident ❑Homicide 0 Suicide ❑Undetermined ❑Pending
W C.) Circumstances Investigation
W Medical Certifier Name Title
CI Maria Vivenzio DO
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501
EiBurial Date Cemetery,Crematory or Facility Name
11/24/2020 Pine View Crematory
EIEntombment Address
EICremation Queensbury Town,New York
EiDonation
Z Date Place Removed
Removal and/or Held
F- and/or
N
Hold Address
0 .
n. Date Point of
i ❑Transportation Shipment
p by Common
Carrier Destination
Disinterment 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
1.— Remains are Shipped,If Other than Above
Address
C
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/24/2020 Registrar of Vital Statistics Join PaulT'tanckgYectronicall:y Srgne4
(signature)
District Number 4501 Place Saratoga Springs, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this p ' on:
IH
Z Date of Disposition I I )11170 Place of Disposition ii.._,l,
W (address)
W
Cl) (section) trot number) (grave number)
o /j ;tL .S a.,I,I•
• Name of Sexton or Person in Charge of eg�ises
(plea print)
W Signature Title ffvc,..14T�I
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) � " ' ' 01 2 3 L
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#