Stringer, Marielle NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
, 491
Name First Middle Last Sex
Marielle Stringer Female
Date of Death Age If Veteran of U.S.Armed Forces,
10/05/2023 88 Years War or Dates
H Place of Death Hospital,Institution or
Z City,Town or Village Albany Street Address Albany Medical Center Hospital
IJJ
p Manner of Death ❑X Natural Cause []Accident []Homicide Suicide Undetermined ❑Pend ing
U Circumstances Investigation
W Medical Certifier Name Title
CI Sean Conner DO
Address
43 New Scotland Ave,Albany,New York 12208
Death Certificate Filed City Of Albany District Number Register Number
City,Town or Village 0101 2333
EdBurial Date Cemetery,Crematory or Facility Name
10/10/2023 Pine View Crematory
Entombment Address
[]Cremation Queensbury Town,New York
Donation
O[]Removal Date Place Removed
and/or and/or Held
H Hold Address
N
0
a Date Point of
U)1]Transportation
p by Common Shipment
Carrier Destination
[]Disinterment
Date Cemetery Address
[]Reinterment
Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Edward L Kelly Funeral Home 00519
Address
PO Box 548,Schroon Lake,New York 12870
Name of Funeral Firm Making Disposition or to Whom
1— Remains are Shipped,If Other than Above
Address
CC
lii
n' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 10/05/2023 Registrar of Vital Statistics Kerry Bartltothmew(Electronicai '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:
I- r ,
Z Date of Disposition J O ?3 Place of Disposition .1T4, uujA N
to (address)
Ill
CoC (section) f: '1 (lot numbe (grave number)
Name of Sexton or Person in Charge of Premise c tµ
�olease print)
Z
W Signature Title
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#—