Ryan, Joyce NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section , R Burial - Transit Permit
Name First Middle Last Sex
Joyce Ryan Female
Date of Death Age If Veteran of U.S. Armed Forces,
March 17, 2012 80 War or Dates
Place of Death Hospital, Institution or
' City, Town or Village Glens Falls Street Address Glens Falls Hospital
a' Manner of Death X Natural Cause Accident Homicide Suicide Undetermined Pending
kit Circumstances Investigation
u' Medical Certifier Name Title
e ' Slingerland,MD
Address
Glens Falls,NY
Death Certificate Filed District Number Register Number
City, Town or Village Glens Falls 5601 /'30
❑Burial Date Cemetery or Crematory
March 20, 2012 Pine View Crematorium
❑Entombment Address
❑X Cremation 21 Quaker Road, Queensbury, NY 12804
Date Place Removed
Z I I Removal and/or Held
and/or Address
F' Hold
Cl)
O Date Point of
N Transportation Shipment
p by Common Destination
Carrier
Disinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Regan & Denny Funeral Home 01444
Address
;;i 94 Saratoga Avenue, South Glens Falls,NY 12803
Name of Funeral Firm Making Disposition or to Whom
I*+ Remains are Shipped, If Other than Above
'gb' Address
re
ILL
`: Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 3( 2CJ j/ Z Registrar of Vital Statistics LN
C 6 I ignature)
District Number 5601 Place Glens Falls
• I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
W Date of Disposition 3-aI-a010 Place of Disposition ?het)l'etj Cre wict4or iow,
W (address)
Cl)
O (s I (lot number) (grave number)
p ection Name of Sexton or Person in Charge of Premises 1 in,,d y relit
'Z �� ���.�"` / (please print)
Signature Title C re m �d S'
(over)
DOH-1555(02/2004)