Murphy, Joseph J. # P
NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Joseph J.Murphy Male
Date of Death Age If Veteran of U.S.Armed Forces,
03/05/2020 49 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Wilton Town Street Address 280 Pyramid Pines Estate,Wilton Town,New York 12866
p Manner of Death Natural Cause Accident Homicide Suicide Undetermined ❑K Pending
W Circumstances Investigation
U
WQ Medical Certifier Name Title
Susan Hayes-Masa Coroner
Address
40 McMaster Street,Ballston Spa,New York 12020
Death Certificate Filed District Number Register Number
City,Town or Village Gansevoort 4569 8
❑Burial Date Cemetery,Crematory or Facility Name
03/10/2020 Pine View Crematory
Entombment Address
FRICremation Queensbury Town,New York
❑Donation
ZO Removal Date Place Removed
and/or and/or Held
H N Hold Address
O
d Date Point of
N ElTransportation
p by Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
Reinterment I Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Compassionate Funeral Care Inc 00364
Address
402 Maple Ave,Saratoga Springs,New York 12866
Name of Funeral Firm Making Disposition or to Whom
Remains are Shipped,If Other than Above
Address
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/10/2020 Registrar of Vital Statistics Susan Balfwin(EYectronicad Srgned)
(signature)
District Number 4569 Place Gansevoort, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
H
Z Date of Disposition �I�- ,�.C�:C► Place of Disposition
W t mtAc
2 (address)
W
M (section) (lot number) (grave number)
0 Name of Sexton or Person in Charge of Premises J v (tom
Z (Please print)
W
Signature .Q''Y Title (!,r�e'''"%��
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b)
Receipt
Human remains of delivered on , 20
PineView Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#