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Woodcock Sr., Joseph B.
Zt1 NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph B Woodcock Sr Male Date of Death Age If Veteran of US.Armed Forces, 02/22/2021 80 Years War or Dates 1960-65 Place of Death Hospital,Institution or WCity,Town or Village Saratoga Springs Street Address Saratoga Hospital 'p Manner of Death ©Natural Cause ❑Accident Homicide ❑Suicide Undetermined El Pending Circumstances Investigation W Medical Certifier Name Title CI Romel Gobunsuy MD Address 211 Church St,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Saratoga Springs 4501 162 ElBurial Date Cemetery,Crematory or Facility Name 02/24/2021 Pineview Crematory Entombment Address ]Cremation Queensbury Town,New York ❑Donation Z Removal Date Place Removed and/or and/or Held Hold Address N 0 a Date Point of U) ❑Transportation ES Common Shipment Carrier Destination ElDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom H. Remains are Shipped,If Other than Above a Address W n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/23/2021 Registrar of Vital Statistics John Paul Franck(Electronically Signed) (signature) District Number 4501 Place Saratoga Springs, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z !�W Date of Disposition 2/2 S I 7' Place of Disposition rY Z4__ 2 (address) W Cr N (section) tot number) (grave number) 11 0 Name of Sexton or Person in Charge of remises ' ► ""� (please riot) W Signature Title L Y s4-1/7 DOH-1555(07/18)p t of 2 Public Health Law Sec. 4145(2b) 3 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# i