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Ginter, Nancy L 1 � 13yq' NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Nancy L.Ginter Female Date of Death Age If Veteran of U.S.Armed Forces, 04/05/2023 65 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital 'p Manner of Death ZI Natural Cause Accident Homicide Suicide ❑Undetermined Pending Circumstances Investigation W Medical Certifier Name Title G Maria Vivenzio DO Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 214 Burial Date Cemetery,Crematory or Facility Name 04/07/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation soRemoval Date Place Removed and/or and/or Held Hold Address M 0 O. Date Point of M IllTransportation p by Common Shipment Carrier Destination O Disinterment Date Cemetery Address 111 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 Remains are Shipped,If Other than Above t- Address W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 04/07/2023 Registrar of Vital Statistics Thaw Moran(Electronicall:y 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: WDate of Disposition 3'Zd23 Place of Disposition I- AM (/i`ee.J tnr+r-le/et 7c,(1. 2 (address) W tip� (section) (lot number) (grave number) J_ f g Name of Sexton or Person in Charge remi s /��� wife+" (please print) Ui Signature Title O p-er—ejo r DOH-1555(o7/18)p t of 2 i r rE 6 Public Health Law Sec. 4145(2b) Receipt Human remains of ='`a delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#