Brauser, Erica Lynn NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Erica Lynn Brauser Female
Date of Death Age If Veteran of U.S.Armed Forces,
05/31/2022 28 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital
Manner of Death ❑X Natural Cause Accident El Homicide DSuicide Undetermined 17 Pending
W Circumstances Investigation
WMedical Certifier Name Title
0 David DeCelle Coroner
Address
40 McMaster Street,Ballston Spa,New York 12020
Death Certificate Filed City Of Saratoga Springs District Number Register Number
City,Town or Village 4501 343
Burial Date Cemetery,Crematory or Facility Name
pain 06/03/2022 Pine View Crematory
Entombment Address
Cremation Queensbury Town,New York
Donation
❑Removal Date Place Removed
and/or and/or Held
H Hold Address
0
O. Date Point of
to Transportation
ES Common Shipment
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
I— Remains are Shipped,If Other than Above
2 Address
C
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 06/03/2022 Registrar of Vital Statistics (Dilron Moran(ECectronicalty Signed)
(signature/
District Number 4501 Place City Of Saratoga Springs
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z /
Date of Disposition �_t�2D7Z Place of Disposition ��� . U�,e� C�.GM L'�f��
2 (address`
IW
N (section) (lot number (grave number)
gName of Sexton or Person in Charge o remise T /t(9.J
Z / (pie se print)
W Signature < L Title C' +� r-
DOH-1555(o7/18)p t of 2 �J
0 In
Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg. or License# `1`