Purinton, Barbara NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Vital Records Burial - Transit Permit
Name First Middle Last Sex
Barbara Purinton Female
Date of Death Age If Veteran of U.S.Armed Forces,
06/28/2023 93 Years War or Dates
p. Place of Death Hospital,Institution or
5 City,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc
Manner of Death El Natural Cause Accident Homicide Suicide Undetermined Pending
UJW Circumstances Investigation
Medical Certifier Name Title
Rick Teetz MD
Address
131 Lawrence St,Saratoga Springs,New York 12866
Death Certificate Filed City Of Saratoga Springs District Number Register Number
City,Town or Village 4501 364
,iN
Burial Date Cemetery,Crematory or Facility Name
07/11/2023 Friends Cemetery
Entombment Address
Cremation Queensbury Town,New York
❑Donation
0Z❑Removal Date Place Removed
H and/or and/or Held
N Hold Address
2 Date Point of
U)❑Transportation
a by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Date Cemetery Address
El Reinterment
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
18 Remains are Shipped,If Other than Above
Address
Ir
W
IL Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 06/29/2023 Registrar of Vital Statistics Di!(on Moran(E(ectronica1Ty 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:
In
Date of Disposition "1,I t, a6 Place of Disposition o71 ()\ Xc C�, Lic c— A. Si)L I
2 laress/
ILI
Qsection) `��SCC �dmber/ (grave number/
gName of Sexton or Perso in Charge of Pre e CCjt-Nci t e 6-Le C\*-
z /� .iG (please print)
Signature Title SL,`. .... j nit
DOH-1555(07/18)p t of 2
Public Health Law Sec. 4145(2b) 012990
Receipt
Human remains of < ,s delivered on , 20
/41
ai‘View Cemetery Representing`the funeral home named on burial permit
fficial Funeral Directors Reg.or License#
PURY NTON
NAME Barbara Purinton Age: 93
Lot Owner: Family Plot
Lot# Family Plot Grave#
Case: Concrete
Died: 6.2 8.2 3 Interred: 7, 1 1 .2 3
Funeral Home: Regan Denny Stafford
Cemetery: Friends Cemetery