Loading...
Cowieson, Sarah �(9 4 N EW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Sarah Cowieson Female Date of Death Age If Veteran of U.S.Armed Forces, 03/09/2021 43 Years War or Dates i.,, Place of Death Hospital,Institution or Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital h f D Manner oeat � M © Natural Cause n Accident 0 Homicide Suicide n lJndetermined Pending W Circumstances Investigation U W Medical Certifier Name Title t7 Timothy Reed MD Address 211 Church St,Saratoga Springs, New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 199 nBurial Date Cemetery,Crematory or Facility Name 03/11/2021 Pine View Crematory nEntombment Address nCremation Queensbury Town, New York nDonation Z Removal Date Place Removed and/or and/or Held - Hold Address 0 d Date Point of (/) bi Transportation p by Common Shipment Carrier Destination Date Cemetery Address nDisinterment 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 Remains are Shipped,If Other than Above 2 Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/11/2021 Registrar of Vital Statistics John Paul rFranck(rECectronicarrfySigned) (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: ,,rr W Date of Disposition 3111171 Place of Disposition (address) W CCCC /section/ ltotpumber/ (grave number/ Name of Sexton or Person in Charge of Pre es `//(1 a Z / (please print ,.fin W Signature Title l►2�wv}�Q(�DOH-1555 l07/18)p 1 of 2 Public Health Law Sec. 4145(2b) �.E .4 6 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named op burialpermit Official Funeral Directors Reg.or License# :'