Strauss, Joseph R. Z O3
NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Joseph R.Strauss Male
Date of Death Age If Veteran of U.S.Armed Forces,
02/19/2021 74 Years War or Dates 1965-1967
1_ Place of Death Hospital,Institution or
WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death 0 Natural Cause ❑Accident ❑Homicide ❑Suicide El Undetermined Ei Pending
W C.) Circumstances Investigation
W Medical Certifier Name Title
CI Sergio Lema-Gutierrez MD
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 159
❑Burial Date Cemetery,Crematory or Facility Name
02/22/2021 Pine View Crematory
❑Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
ZO Removal Date Place Removed
- and/or and/or Held
~- Hold Address
0
G. Date Point of
Cl) Transportation Shipment
by Common
Carrier Destination
Date Cemetery Address
ElDisinterment
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
H Remains are Shipped,If Other than Above
5 Address
CC
W
Q. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/22/2021 Registrar of Vital Statistics join Paul ranck(E/ectrnnicaf St ht4
(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:
I-
Z Date of Disposition Z Z.3 i'Zi Place of Disposition -17-1— 6d'
address/
W
CC CC (section) ,Q (lot number)ber (grave number)
Name of Sexton or Person in Charge of Pr ises t`ri1�
0 (plea print)
Z Charge
W Signature Title ` -
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 014570
1
Receipt
Human remains of ' delivered on ._ , 20 -
Pine View Cemetery Representing the funeral home amed on burial permit
Official Funeral Directors Reg.or License#