Hamilton, Meredith NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit >=`
Bureau of Vital Records
Name First Middle Last Sex
Meredith Hamilton Female
Date of Death Age If Veteran of U.S.Armed Forces,
11/15/2023 47 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Ballston Town Street Address State 50 Route,Ballston Town,New York 12020
p Manner of Death Natural Cause Accident a Homicide Suicide nUndetermined nPending
Circumstances '' II Investigation
W Medical Certifier Name Title
Robert Ball Coroner
Address
6010 County Farm Road, Ballston Spa Village,New York 12020
Death Certificate Filed Town Of Ballston District Number Register Number
City,Town or Village 4550 44
▪Burial Date Cemetery,Crematory or Facility Name
11/18/2023 Pine View Crematory
Entombment Address
nCremation Queensbury Town,New York
▪Donation
Z❑Removal Date Place Removed
and/or and/or Held
Hold Address
0
Date Point of
U)piTransportation
p by Common Shipment
Carrier Destination
nDisinterment
Date Cemetery Address
nReinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home William J Burke&Sons Funeral Home 01827
Address
628 N Broadway,Saratoga Springs,New York 12866
Name of Funeral Firm Making Disposition or to Whom
1— Remains are Shipped,If Other than Above
Address
CC
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/17/2023 Registrar of Vital Statistics CaroCA Gumienny(ECectronicalTySigned)
(signature)
District Number 4550 Place Town Of Ballston
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Z Date of Disposition I//),e Place of Disposition p;
t , (�Q
�Lt�,3 ro.31Gcl (address)
2
W
CC
to (section) (lot number) (grave number)
Name of Sexton or Person in Charge of Premises tTy+�2, ' S�,ji�L S
Z (please print)
W Signatureri0)7V:g- Title Cafer4}6(
DOH-1555{07/18)p 1 of 2
Public TP th L e 4-1-45(2b)
C.
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#