Krieger, Geraldine � 3Li7
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Geraldine Krieger Female
Date of Death Age If Veteran of U.S.Armed Forces,
12/22/2020 83 Years War or Dates
1 . Place of Death Hospital,Institution or7 L, /We--
Z City,Town or Village Saratoga Springs Street Address etr Saratoga Springs,New York 12866
W
p Manner of Death ❑X Natural Cause ❑Accident 12 Homicide ❑Suicide ❑Undetermined El Pending
W Circumstances Investigation
W Medical Certifier Name Title
CI Mirabelle Beck NP
Address
394-402 Church Street,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 678
Burial Date Cemetery,Crematory or Facility Name
12/24/2020 Pine View Crematory
El Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
Removal Date Place Removed
and/or and/or Held
Hold Address
0
d 1-1 Date Point of
U) ll Transportation
p by Common Shipment
Carrier Destination
El
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
CC
IL
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 12/24/2020 Registrar of Vital Statistics ,loin cPau1Pranck(Ctront ay Signet
(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 /..?-2g-2o2o Place of Disposition p, ! e �„gc. ) C, e- i 4-0 r--(
2 (address,)
W
CC CC (section) (lot numbe) (grave number)
J
aName of Sexton or Person in Ch a of Pr ' es A�plc^� r'(please print)
Signature �n Title 00
c—
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) t 0 14 3 3 8
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#