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Macri, Eleanor M.
3 NEW YORK STATE DEPARTMENT OF HEALTH,. . Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Eleanor M Macri Female Date of Death Age If Veteran of US.Armed Forces, 03/22/2021 85 Years War or Dates E.. Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc tp Manner of Death ©Natural Cause El Accident ❑Homicide El Suicide 0 Undetermined ❑Pending Circumstances Investigation W Medical Certifier Name Title O Diane Westbrook NP Address 131 Lawrence St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 210 0 Burial Date Cemetery,Crematory or Facility Name 03/24/2021 Pineview Crematory 0 Entombment Address Cremation Queensbury Town,New York ElDonation ❑Removal Date Place Removed and/or and/or Held p(7) Hold Address O d Date Point of U)❑Transportation S by Common Shipment Carrier Destination ElDisinterment Date Cemetery Address ElReinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom E— Remains are Shipped,If Other than Above 2 Address CC W rs Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/23/2021 Registrar of Vital Statistics John Paul Franck(Electronically Signed) (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 permi • W~ ems Date of Disposition 3 jl S tit Place of Disposition (address) W CC (section) (lot number) (grave number) 0 Name of Sexton or Person in Charge of Premis ` Q - —''M^4'11* Z (plea print) W Signature Title (r1GA' DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 01.474 Receipt Human remains of delivered on •(' , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#