Loading...
Mainwaring, Thomas Lloyd 135 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Thomas Lloyd Mainwaring Male Date of Death Age If Veteran of U.S.Armed Forces, 12/18/2020 92 Years War or Dates 1950-1953 Place of Death Hospital,Institution or 3 City,Town or Village Saratoga Springs Street Address 400 Church Street,Saratoga Springs, New York 12866 aManner of Death ©Natural Cause 1=1 Accident 1=1 Homicide 1=1 Suicide Undetermined 0 Pending Circumstances Investigation Medical Certifier Name Title Eric Borden MD Address 3044 Route 50,Wilton Town,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 661 ElBurial Date Cemetery,Crematory or Facility Name 12/22/2020 Pine View Crematory El Entombment - Address ElCremation Queensbury Town,New York ElDonation Z❑Removal Date Place Removed 9 and/or and/or Held CI) Hold Address Date Point of ElTransportation Shipment 5 by Common p Carrier Destination Date Cemetery Address 1=1 Disinterment ❑Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/21/2020 Registrar of Vital Statistics John Paul Eranck(ECectronica1TySigned) (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: Date of Disposition I2-Z9-7,0 ZV Place of Disposition p,y,e ti, J e r'2 Ara SO ILI /address W Ir (section) (lot number) (grave number) O Name of Sexton or Per in C rge of Premises cib"'it G'V1 G afria&a (please print/ W Signature • Title Lre-re -Oly oj 'e-J.' DOH-1555(07/18)p f 2 01 44 Public Health Law Sec. 4145(2b) ' 3. Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# Public Health Law Sec. 4145(2b) 0,1432S Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#