Avramis, Peter NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Peter Avramis Male
Date of Death Age If Veteran of U.S.Armed Forces,
12/27/2020 34 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death Natural Cause El Accident ❑Homicide ❑Suicide ❑Undetermined ❑X Pending
VCircumstances Investigation
W Medical Certifier Name Title
CI Robert Ball Coroner
Address
10 Glen Eagles Blvd,Ballston Lake,New York 12019
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 695
❑Burial Date Cemetery,Crematory or Facility Name
12/30/2020 Pine View Crematory
Entombment Address
0 Cremation Queensbury Town,New York
❑Donation
OZ L. Removal Date Place Removed
and/or and/or Held
N Hold Address
0
O. Date Point of
Cl) 1-1
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
1— Remains are Shipped,If Other than Above
2 Address
CC
W
n' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 12/30/2020 Registrar of Vital Statistics Joan PPaufTranckgkctromi-aQ Stgtte4
(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:
W Date of Disposition /a-'p2/ Place of Disposition , .?Q ,t.0 l -fcr,i# a
c
2 (ad
dca
W
CC CC (section) A (lot n ber) (grave number)
• Name of Sexton or Person in Ch rge of Pie es /�/ ��
(please print)
Z Title / �_
W Signature
DOH-1555(07/18)p t of 2/
Public Health Law Sec. 4145(2b) y 4. . I
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#