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Byrne, Walter R Sr.
(9' NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Walter R.Byrne Sr. Male Date of Death Age If Veteran of U.S.Armed Forces, 12/24/2023 83 Years War or Dates 1959-1963 Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Wesley Health Care Center Inc p Manner of Death ❑^ Natural Cause Accident El Homicide Suicide Undetermined ElPending Circumstances Investigation W Medical Certifier Name Title 0 Rick Teetz MD Address 131 Lawrence St,Saratoga Springs,New York 12866 Death Certificate Filed City Of Saratoga Springs District Number Register Number City,Town or Village 4501 730 Burial Date Cemetery,Crematory or Facility Name 12/30/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York IIIDonation ZO Removal Date Place Removed and/or and/or Held ~N Hold Address 0 a Date Point of (I) Transportation p by Common Shipment Carrier Destination ODisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above 5 Address CC W EL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/26/2023 Registrar of Vital Statistics Oilton Moran(Efectronica((y Signed) (signature) District Number 4501 Place City Of Saratoga Springs I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition /2_3..e3 Place of Disposition , .ie i/`ou) C fry 4_ 9 W 2 (address) W CC CC (section) (lot number), (grave number) p / Z Name of Sexton or Person in Charge o mises j44/`�/7 o,J}) ier cf ease print) W Signature '�� ti �i �" Title pi..74e.`k- 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#