Martino, Edward Joseph NEW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Edward Joseph Martino Male
Date of Death Age If Veteran of U.S.Armed Forces,
02/21/2024 93 Years War or Dates 1951-53
l` Place of Death Hospital,Institution or
Z City,Town or Village Saratoga Springs Street Address Saratoga Hospital
ILI
p Manner of Death ^ Natural Cause Accident ❑Homicide Suicide nUndetermined ❑Pending
W I (Circumstances Investigation
U
W Medical Certifier Name Title
0 Suzanne Rayeski DO
Address
211 Church St,Saratoga Springs,New York 12866
Death Certificate Filed City Of Saratoga Springs District Number Register Number
City,Town or Village 4501 116
Burial Date Cemetery,Crematory or Facility Name
02/22/2024 Pine View Crematory
IllEntombment Address
FCremation Queensbury Town,New York
Donation
0 Removal Date Place Removed
- and/or and/or Held
~- Hold Address
N
0
0- Date Point of
U) Transportation
Q by Common Shipment
Carrier Destination
O
Disinterment
Date Cemetery Address
C Reinterment
Date Cemetery Address
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
IH Remains are Shipped,If Other than Above
N Address
W
a' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 02/22/2024 Registrar of Vital Statistics 23i!lonMoran(ElectronicalySigned)
(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 2IZ3kli Place of Disposition ?;rl6( **J /Of1111 irkrAj„`
W
2 (address)
W
Cl)
Ir (section) (lot number) (grave number)
0 Name of Sexton or Person in Charge of Premises . ��)vLc 4(t
z (plea print)
BJ Signature (/ .—rVtle itY410g
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# -'