Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Thompson, JoEllen T
10 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex JoEllen T.Thompson Female Date of Death Age If Veteran of U.S.Armed Forces, 11/24/2021 50 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address St Peters Hospital WManner of Death ©Natural Cause Accident Ei Homicide Suicide Undetermined Pending U Circumstances Investigation 0 Medical Certifier Name Title Rebecca Keim MD Address 315 S Manning Blvd,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 2921 Burial Date Cemetery,Crematory or Facility Name 11/29/2021 Pine View Crematorium Entombment Address lCremation Queensbury Town,New York ❑Donation QRemoval Date Place Removed and/or and/or Held N Hold Address 0 d Date Point of U Transportation by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above Address EC W E' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/29/2021 Registrar of Vital Statistics <UanietteS Gillespie(Electronically Signed) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: H n Z Date of Disposition , /ZOl I Place of Disposition pl`,ue 1)I 11.4)iu 2 (address) W CC (section) ,,,/ (lotf numb / (grave number) aName of Sexton or Person in Charge of Premises 1C �+ '.&2' ✓CI N/G�� (please print/ W Signature Title _ O feret4os— DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) - �t 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#