Loading...
Baldwin, Alexandra Elizabeth trzi # g-ig NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Alexandra Elizabeth Baldwin Female Date of Death Age If Veteran of U.S.Armed Forces, 10/09/2023 31 Years War or Dates 1,,, Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital Ill p Manner of Death ri Natural Cause IllAccident III Homicide []Suicide riUndetermined ❑Pending Ill Circumstances Investigation a W Medical Certifier Name Title al Antonio Sturges Coroner Address 175 Green Street,Albany,New York 12202 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 2431 Burial Date Cemetery,Crematory or Facility Name 10/16/2023 Pine View Crematory []Entombment Address ©Cremation Queensbury Town,New York Donation Date Place Removed Removal and/or Held H and/or N Hold Address 0 Date Point of to❑Transportation Shipment p by Common Carrier Destination Disinterment Date Cemetery Address Date Cemetery Address 0 Reinterment Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-Argyle 01077 Address 123 Main St,Argyle,New York 12809 Name of Funeral Firm Making Disposition or to Whom — Remains are Shipped,If Other than Above N Address CC W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/16/2023 Registrar of Vital Statistics Kerry 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: l— Z Date of Disposition Iof ii 113 Place of Disposition - 26/Eu ..) t '6i114 aore,— LU (address) W CC (section) (lot _ number) (grave number) It SName of Sexton or Person in Charge of Premises L.- N.it Z (plea e print/ W Signature �� J��� Title { /�y( DOH-1555(o7/18)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#