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Murphy, Elaine Joyce NEW YORK STATE DEPARTMENT OF HEALTH (J;j(!) Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Elaine Joyce Murphy Female Date of Death Age If Veteran of U.S.Armed Forces, 12/27/2020 87 Years War or Dates Place of Death Hospital,Institution or ZCity,Town or Village Cohoes Street Address Eddy Village Green p Manner of Death 0 Natural Cause El Accident I:IHomicide El Suicide El Undetermined El Pending W Circumstances Investigation W Medical Certifier Name Title a Donald Jue MD Address 421 W Columbia St,Cohoes,New York 12047 Death Certificate Filed District Number Register Number City,Town or Village Cohoes 0102 171 ©Burial Date Cemetery,Crematory or Facility Name 12/31/2020 Pine View Cemetery llEntombment Address ElCremation Queensbury Town,New York ❑Donation ❑Removal Date Place Removed and/or and/or Held ~ Hold Address 0 a. Date Point of U) ❑Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom E— Remains are Shipped,If Other than Above 2 Address W a' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/29/2020 Registrar of Vital Statistics Lori Plnn'Maio glectronic4 Signea9 (signature) District Number 0102 Place Cohoes, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: If- W Date of Disposition 1 2/31 /2020 Place of Disposition21 Quaker Rd. Queensbury, NY 12804 (address) iW Mohawk 31 A 2 CC (section) (lot number) (grave number) S Name of Sexton or Person in Charge of Pr es Connie Goedert (please print) W Signature Title Superintendent DOH-1555(07/18)pi of 2 Public Health Law Sec. 4145(2b) 012834 Receipt Human remains of r�1 `i,J !!/ /1 f` Y delivered on ✓ 7_. ` i , 20<<-=t� y Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# Murphy LF NAME Elaine Joyce Murphy Age: 87 Lot Owner: Elaine Murphy Lot# Grave# Mohawk 31 A 2 Case: Concrete Died: 21 /2 7/2 0 2 0 Interred1 2/31 /2020 Funeral Home: Baker FH Cemetery: Pine View Cemetery