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Stiles, Joyce L
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joyce L Stiles Female Date of Death Age If Veteran of U.S.Armed Forces, 06/10/2021 71 Years War or Dates H Place of Death Hospital,Institution or WCity,Town or Village Day Town Street Address 58 Hollow Road,Day Town,New York 12835 p Manner of Death ©Natural Cause Accident ❑Homicide ID Suicide El Undetermined El Pending W Circumstances Investigation W Medical Certifier Name Title O Mark Doyle MD Address 377 Church Street,Saratoga Springs,New York 12866 Death Certificate Filed District Number Register Number City,Town or Village Hadley 4554 EiBurial Date Cemetery,Crematory or Facility Name 06/12/2021 Pineview Crematory ElEntombment Address ElCremation Queensbury Town,New York ElDonation Z Removal Date Place Removed pEl and/or and/or Held Hold Address 0 Date Point of N ❑Transportation Shipment p by Common Carrier Destination Date Cemetery Address ❑Disinterment 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 lr Remains are Shipped,If Other than Above 2 Address R W IL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/12/2021 Registrar of Vital Statistics Carol Vaillancourt(Electronically Signed) (signature) District Number 4554 Place Hadley, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: F— Z Date of Disposition 10Ill j il Place of Disposition address)rL W 2 W CCCC (section) (lot nurgl r) (grave number) O tr..., -**K.alt ▪ Name of Sexton or Person in a of Premises r� Z (please print) ma�`' ,i Iy,, , W Signature Title DOH-1555(07/18)p 1 of 2 s• Public Health Law Sec. 4145(2b) 0 1 4 854 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#