Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Waldron, Ivon H
1 NEW YORK STATE DEPARTMENT OF HEALTHOLF Ef 6-tol Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Ivon H.Waldron Male Date of Death Age If Veteran of U.S.Armed Forces, 07/22/2023 79 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital W Manner of Death Undetermined Pending Natural Cause Accident Homicide Suicide Ill Circumstances Investigation W Medical Certifier Name Title 0 Pawan Puli MD Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1714 Burial Date Cemetery,Crematory or Facility Name 07/27/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York EDonation Date Place Removed Removal and/or Held F- and/or N Hold Address 0 a. Date Point of u)Dransportation Shipment p by Common Carrier Destination 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 l- Remains are Shipped,If Other than Above 5 Address CC a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/25/2023 Registrar of Vital Statistics (Danie((eS GitTespie(ECectronica((ySigned) (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: z 1� llt Date of Disposition 7/27 I Z; Place of Disposition �,,, r4, 2, (address) W CC (section) fft number) (grave number) 0 Name of Sexton or Person in Charge of Pre ,i ^ Z j (please rint) /� W Signature Title C414 X? DOH-1555(07/t8)p 1 of 2 Lf 1 7 1 i.G Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on 20 e View Cemetery Representing the funeral home named on burial permit 1 Funeral Directors Reg.or License#