Kraus, Frank F
NEW YORK STATE DEPARTMENT OF HEALTH L r
Bureau of Vital Records Burial Transit lrmlt
Name First Middle Last Sex
Frank Kraus Male
Date of Death Age If Veteran of U.S.Armed Forces,
12/26/2022 86 Years War or Dates Air Force
1— Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
pManner of Death Z Natural Cause Accident 0 Homicide OSuicide Undetermined Pending
W Circumstances Investigation
W Medical Certifier Name Title
0 Shahid Ahmed MD
Address
100 Park St,Glens Falls,New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 657
Burial Date Cemetery,Crematory or Facility Name
12/28/2022 Pine View Crematory
Entombment — —
Address
Cremation Queensbury,New York
Donation
0❑Removal Date Place Removed
and/or and/or Held
NHold Address
0
O. Date Point of
(/):Transportation Shipment
5 by Common
Carrier Destination
Disinterment Date Cemetery Address
El
Reinterment
Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Regan Denny Stafford Funeral Home 01443
Address
53 Quaker Rd,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
H Remains are Shipped,If Other than Above
a Address
Cr
W
O. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 12/28/2022 Registrar of Vital Statistics Megan No(in(ECectronica1Ty Signed)
(signature)
District Number 5601 Place City Of Glens Falls
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Date of Disposition a-t j- Jazz Place of Disposition ! ` Je 0, C‘4..) (re 1
111
2 (address)
W
Cr (section) (lot number) (grave number)
gName of Sexton or Person in Charge of Pr mises ', 4.,,,,,I) LJd7c1
Z ` �- (please print)
W Signature L� Title eye:4e V
DOH-1555(o7/18)p 1 of 2
�'`r "% s " .1
`a 1
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#