Strodel, Christine A g if 5--C
NEW YORK STATE DEPARTMENT OF HEALTH r r Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Christine A.Strodel Female
Date of Death Age If Veteran of U.S.Armed Fortes,
11/25/2023 72 Years War or Dates
Place of Death Hospital,Institution or
City,Town or Village Glens Falls Street Address Glens Falls Hospital
0 Manner of Death El Natural Cause Accident1:1 Homicide Ei Suicide nUndetermined El Pending
Lif Circumstances Investigation
W Medical Certifier Name Title
Melody Long PA
Address
, 100 Park Street,Glens Falls,New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 546
Burial Date Cemetery,Crematory or Facility Name
11/27/2023 Pine View Crematory
Entombment Address
®Cremation Queensbury Town,New York
❑Donation
Removal Date Place Removed
and/or and/or Held
Hold Address
Date Point of
I■Transportation Shipment
by Common p
4. Carrier Destination
❑Disinterment
Date Cemetery Address
Reinterment
Date Cemetery Address
`41,
Registration Number
.� Permit Issued to g
+.;: Name of Funeral Home Regan Denny Stafford Funeral Home 01443
-lc; Address
53 Quaker Rd,Queensbury,New York 12804
w Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped,If Other than Above
1 Address
Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 11/27/2023 Registrar of Vital Statistics Megan No(in(E(ectronwa1Ty Signed)
(signature)
District Number 5601 Place City Of Glens Falls
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
Date of Disposition lZ I 11 2� Place of Disposition r=✓EvL iS ) ( fl ille Zl0"
W g (address)
W
Q (section) 4 (lot number) (grave number)
O Name of Sexton or Person in Charge of mises " -)e s �'-- ->t AM ft
ease print)
Z %4'
W Signature Title � ''1ifrOlt
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 'Jr
Receipt
Human remains of delivered on , 20 -_
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#