Loading...
Battease, Paula jean .c k -76 1 NEW YORK STATE DEPARTMENT OF HEALTHPermit Bureau of Vital Records Burial - Transit Name First Middle Last Sex Paula Jean Battease Female Date of Death Age If Veteran of U.S.Armed Forces, 09/23/2023 63 Years War or Dates Place of Death Hospital,Institution or • City,Town or Village Albany Street Address Albany Medical Center Hospital p Manner of Death ZI Natural Cause Accident Homicide Suicide I=IU Pending Circumstances Investigation W Medical Certifier Name Title 0 Shannon Murawski 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 2239 Burial Date Cemetery,Crematory or Facility Name 09/26/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York DDonation ❑Removal Date Place Removed and/or and/or Held pN Hold Address 2 (/)❑Transportation Date Point of s by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom F Remains are Shipped,If Other than Above a Address CC IW O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/25/2023 Registrar of Vital Statistics Kfrry Bartholomew(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: WDate of Disposition 404113 Place of Disposition PLAL . tI--_ 2 (address/ W Q (sertron/ 4(lot number) (grave number) g Name of Sexton or Person in Change of P mises 6 "f e I-- ��`�'ft Z e print) (p/ fW Signature Title (Kill‘1V1 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# + ` ;