Current, William H. NEW YORK STATE DEPARTMENT OF HEALTH '
Bureau of Burial - Transit Permit Vital Records
Name First Middle Last Sex
William H.Current Male
Date of Death Age If Veteran of U.S.Armed Forces,
12/09/2020 91 Years War or Dates 1949-1951
Place of Death Hospital,Institution or
Z City,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc
p Manner of Death El Natural Cause 0 Accident Hicide Suicide EI Undetermined Pending
11.1 om Circumstances Investigation
U
0 Medical Certifier Name Title
Pamela Casey NP
Address
131 Lawrence St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 640
EjBurial Date Cemetery,Crematory or Facility Name
12/10/2020 Pine View Crematory
❑Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
oRemoval Date Place Removed
and/or and/or Held
Hold Address
0
a Date Point of
Cl) 0 Transportation
by Common Shipment
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
5 Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 12/10/2020 Registrar of Vital Statistics join rPau1TFranck(IYectronica(Srgned)
(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 permit on:
Z Date of Disposition (Z ill ll 10 Place of Disposition F. L
2 (address)
W
CC (section) (lot number) (grave number)
0
Name of Sexton or Person in Charge of Pre ' es 1 is+ 414 41'M
Z (plea print) �^
u1 Signature �S Title `� t pm
DOH-1555(07/18)pi.of 2