Stanton, Betty L if 5 (
NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Betty L Stanton Female
Date of Death Age If Veteran of US.Armed Forces,
01/12/2023 69 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Albany Street Address Daughters Of Sarah Nursing Center
'p Manner of Death El Natural Cause Accident Homicide OSuicide Undetermined Pending
Circumstances Investigation
W Medical Certifier Name Title
0 Isabel Salamone NP
Address
180 Washington Ext Ave,Albany,New York 12203
Death Certificate Filed City Of Albany District Number Register Number
City,Town or Village 0101 0093
Burial Date Cemetery,Crematory or Facility Name
01/14/2023 Pineview Crematory
Entombment Address
Cremation Queensbury Town,New York
Donation
Removal Date Place Removed
and/or and/or Held
fi—N Hold Address
0
O. Date Point of
M❑Transportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
El Reinterment
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
F... Remains are Shipped,If Other than Above
2 Address
Q
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 01/13/2023 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed)
(signature)
District Number 0101 Place City Of Albany
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
1—
Z Date of Disposition //1/--ZOZ3 Place of Disposition ( „ e l/veuo C�iJn
2 (address)
W
N (section) lotnum r) (grave number)
gName of Sexton or Person in Charge of Pre 'ses -eA`>°inw,a D
(please print)
W Signature ) ` Title
DOH-1555(07/18)p 1 of 2
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#