Robar, Patricia NEWYORKSTATEDEPARTMENTOFHEALTH 1
Bureau of Vital Records Burial - Transit Permit
Name First Middle Last Sex
Patricia Robar Female
Date of Death Age If Veteran of U.S.Armed Forces,
03/22/2021 56 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital
p Manner of Death ❑X Natural Cause ❑Accident Homicide Suicide Undetermined 0 Pending
UCircumstances Investigation
LU Medical Certifier Name Title
Qiong Wang MD
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed District Number Register Number
City,Town or Village Saratoga Springs 4501 214
❑Burial Date Cemetery,Crematory or Facility Name
03/24/2021 Pine View Crematory
❑Entombment Address
lCremation Queensbury Town,New York
Donation
Z Removal Date Place Removed
and/or and/or Held
- Hold Address
0
a Date Point of
Cl) 1=1Transportation
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
F Remains are Shipped,If Other than Above
Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/24/2021 Registrar of Vital Statistics join Paul'Tranck(E/ctronica(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 permit on:
Z Date of Disposition 3)2 H 17( Place of Disposition vu @`,___
W
2 (address)
W
CC (section) (lot number) (grave number)
Name of Sexton or Person in Charge of remises 1 Pt i�Q� �►M nt
(pi print)
LU Signature Title114
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b)
J14n �
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#