The URL can be used to link to this page

Laurent, Joyce Town of Queensbury Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Joyce E. Laurent were cremated on December , 30 20 20 at the Pine View (Month) (Day) Crematorium, Queensbury, New York, and these are the cremated remains of said body. Date of Death December , 25 20 20 Age 86 (Month) (Day) Funeral Home Regan Denny Stafford Funeral Home Registered No. 1360 ( thorized Signature) Laurent 2E'\ NAME Joyce Laurent Age: 86 Lot Owner: Eugene & Joyce Laurent Jr. Lot# Mohican 24 E Grave# 1 Case: Urn Died: 1 2/3 0/2 0 2 0 Interred5/1 5/2021 Funeral Home: Regan Denny Stafford Cemetery: Pine View NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joyce E.Laurent Female Date of Death Age If Veteran of U.S.Armed Forces, 12/25/2020 86 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Amsterdam Town Street Address Wilkinson Residential Health Care Facility p Manner of Death © Natural Cause El Accident El Homicide ❑Suicide ❑Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title CI Kevin Cope MD Address 4988 State Highway 30,Amsterdam Town,New York 12010 Death Certificate Filed District Number Register Number City,Town or Village Amsterdam 2850 162 ElBurial Date Cemetery,Crematory or Facility Name 12/29/2020 Pine View Crematory ❑Entombment Address lCremation Queensbury Town,New York ❑Donation Z Removal Date Place Removed and/or and/or Held H Hold Address 0 a Date Point of N ❑Transportation a by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom �.. Remains are Shipped,If Other than Above 2 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/29/2020 Registrar of Vital Statistics Linrfa Bartone-.7fughes(ECectronica1Ty Signed) (signature) District Number 2850 Place Amsterdam, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: W Date of Disposition /2 -3o-V"ZC Place of Disposition Pi)/e (address) lJ CC (section) (lot number) (grave number) /' G Name of Sexton or Per in Charge of Premises °i' r1'1 l,c` //� (please print/ W Signature G<��,0� Title C-✓e ;11 c= 0, y p y)2r-4 //—. DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 0,14351 Receipt i Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#