Huff, Patricia Grace NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Patricia Grace Huff Female
Date of Death Age If Veteran of U.S.Armed Forces,
02/19/2021 27 Years War or Dates
.... Place of Death Hospital,Institution or
Z City,Town or Village Malta Town Street Address 8 May Apple Way,Malta Town,New York 12020
W
`p Manner of Death ❑Natural Cause ❑Accident El Homicide Suicide Undetermined ❑X Pending
V Circumstances Investigation
Q Medical Certifier Name Title
Danielle Jourdan Coroner
Address
4205 Route 50,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Malta 4560 14
ElBurial Date Cemetery,Crematory or Facility Name
02/25/2021 Pine View Crematory
❑Entombment Address
X❑Cremation Queensbury Town,New York
❑Donation
IS Removal Date Place Removed
and/or and/or Held
Hold Address
0
d Date Point of
U) j Transportation
p 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
I— Remains are Shipped,If Other than Above
2 Address
CC
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/22/2021 Registrar of Vital Statistics Jennifer Marie.9folmer(fE/ctronica(Srgned)
(signature)
District Number 4560 Place Malta, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this per
Z Date of Disposition 2-)T(1t Place of Disposition I,IL
111
(address)
w
CC
U)
(section) / lot number/ (grave number)
aName of Sexton or Person in Charge o emises
Z (please rint)!L /�Signature Title L re✓t
DOH-1555(97/18)p i of 2
J ,4583
Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#