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Harvey, Joyce NEW YORK STATE DEPARTMENT OF HEALTH I Vital Records Section Burial - Transit Permit Name First Middle Last Sex Joyce A. Harvey Female Date of Death Age If Veteran of U.S. Armed Forces, December 31,2017 85 War or Dates iPlace of Death Hospital, Institution or City, Town or Village Warrensburg Street Address 887 Alden Ave. Manner of Death Natural Cause Accident Homicide Suicide Undetermined Pending EW X� 1 Circumstances Investigation Medical Certifier Name Title G; Michael R.Bell Address HEIIIN,Warrensburg,NY 12885 Death Certificate Filed ' District Number Register Number City, Town or Village 0 Burial Date Cemetery or Crematory January 3,2018 Pine View Crematory 0 Entombment Address ®Cremation 21 Quaker Rd., Queensbury, NY 12804 Date Place Removed ZO 'Removal and/or Held and/or Address E Hold N O Date Point of N n Transportation Shipment a by Common Destination Carrier Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander-Baker Funeral Home 00037 Address 3809 Main Street, Warrensburg,NY 12885 Name of Funeral Firm Making Disposition or to Whom ;l= Remains are Shipped, If Other than Above P" Address • Permission is hereby granted to dispose of the human remains d cribed above as indicated. Date Issued / /0-©/Y Registrar of Vital Stati irs i (signature) District Number _57,6 0 Place a rre,itc 4 v iti,a) I certify that the remains of the decedent identified above re disposed of in cordance with this permit on: I- w Date of Disposition (11 IIS Place of Disposition 1111,, 4-o-- W (address) N 0 (section) A .(lot num er) (grave number) pName of Sexton or Person in Charge of Premises c%�,,� �j ILI Z %, please print) Signature - Title rit tr, jZk (over) DOH-1555 (02/2004)