Loading...
Porco, Joseph L tt ICI NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph L.Porco Male Date of Death Age If Veteran of U.S.Armed Forces, 12/08/2021 90 Years War or Dates Place of Death Hospital,Institution or WCity,Town or Village Ticonderoga Town Street Address Elderwood at Ticonderoga `p Manner of Death © Natural Cause ElAccident ❑Homicide ElSuicide ElUndetermined ElPending Circumstances Investigation Ili 0 Medical Certifier Name Title Richard Mckeever MD Address 1019 Wicker St,Ticonderoga Town,New York 12883 Death Certificate Filed District Number Register Number City,Town or Village Ticonderoga 1564 67 ❑Burial Date Cemetery,Crematory or Facility Name 12/10/2021 Pine View Crematory ❑Entombment Address ]Cremation Queensbury Town,New York ❑Donation 0 Removal Date Place Removed and/or and/or Held H Hold Address 0 a Date Point of N ❑Transportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Alexander Baker Funeral Home 00037 Address 3809 Main St,Warrensburg,New York 12885 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above S Address uJ n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/09/2021 Registrar of Vital Statistics Tonya 'Thompson(ECectronicalty Signed) (signature) District Number 1564 Place Ticonderoga, 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 lz jtCl2( Place of Disposition 2 (address) uJ CC (section) (lot number) (grave number) S Name of Sexton or Person in Charge of P ises 4 - L ""u l� Z se print) / ,�� W Signature Title ` l`PA wN DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing he funeral home named on burial permit Official Funeral Directors Reg.or License#