Cramer, Tristyn James f., $ z7Z
NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Tristyn James Cramer Male
Date of Death Age If Veteran of U.S.Armed Forces,
03/11/2021 34 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Mechanicville Street Address 185 Saratoga Avenue,Mechanicville, New York 12118
W
`p Manner of Death LiNatural Cause Accident Homicide El Suicide ElUndetermined El Pending
U Circumstances 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 Mechanicville 4523 03
Burial Date Cemetery,Crematory or Facility Name
03/12/2021 Pine View Crematory
❑Entombment Address
EiCremation Queensbury Town,New York
Donation
6 Removal Date Place Removed
- and/or and/or Held
- Hold Address
0
d Date Point of
U) ❑Transportation
p by Common Shipment
Carrier Destination
Date Cemetery Address
Disinterment
El 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
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/12/2021 Registrar of Vital Statistics C Wan(Se1ergketrarticaf Stgne)
(signature)
District Number 4523 Place Mechanicville, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
H �
Z Date of Disposition 3/16''Zi Place of Disposition (1.- c�
2 (address)
W
CC CC (section) A, (lot number) (grave number)
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OQ 1 r 1.— L,L�.a41
Name of Sexton or Person in Charge of P mises
Z `^CG`--�' /Ple a print)
W Signature Title C V2,2'41+10/4
DOH-1555(07/i8)p t of 2
Public Health Law Sec. 4145(2b)
A 1 4 3 4
Receipt
Human remains of delivered on , 20
9
Pine View Cemetery Representing the funeral home named pn burial:permit
Official Funeral Directors Reg.or License#