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Strasser, Theresa Ann 0 3yz NEW YORK STATE DEPARTMENT OF HEALTH w - Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Theresa Ann Strasser Female Date of Death Age If Veteran of U.S.Armed Forces, 07/01/2021 62 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital fa W Manner of Death ©Natural Cause 12 Accident El Homicide El Suicide 0 Undetermined 0 Pending W Circumstances Investigation WMedical Certifier Name Title CI Ali Hani Al-Tarbsheh Address 43 New Scotland Ave,Albany,New York 12208 h Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 1658 Lirl Burial Date Cemetery,Crematory or Facility Name 07/06/2021 Pine View Crematory Entombment Address EiCremation Queensbury Town,New York El Donation ___ O Removal Date Place Removed and/or Held _ _ f and/or= Hold Address U) O Date Point of U) Li• Transportation Shipment Cl by Common Carrier Destination El Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom N 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 07/02/2021 Registrar of Vital Statistics DanielCe S Gillespie(Electronically Signed) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: 6.4._ t1Z] Date of Disposition —7 i G 12-i Place of Disposition ZAII___ 2 (address) W CC (section) (lot nigher) (grave number) it 0 Name of Sexton or Person in Charge of Pre ��.1 z ( (please print) W 104 Signature Title � w DOH-1555(07/18)pi of 2 Public Health Law Sec. 4145(2b) 014 910 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burin. permit Official <-.> Funeral Directors Reg.or License# - �