Constantineau, Joyce Winifred •
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Joyce Winnifred Constantineau Female
Date of Death Age If Veteran of U.S.Armed Forces,
07/22/2022 91 Years War or Dates
Place of Death Hospital,Institution or
WCity,Town or Village Hudson Falls Village Street Address 45 East Labarge Street,Hudson Falls Village,New York 12839
,p Manner of Death ^ Natural Cause nAccdent []Homicide []Suicide Undetermined []Pending
Circumstances I 'Investigation
WMedical Certifier Name Title
Robert Love MD
Address
3 Irongate Center,Glens Falls,New York 12801
Death Certificate Filed Village Of Hudson Falls District Number Register Number
City,Town or Village 5726 37
Burial Date Cemetery,Crematory or Facility Name
07/25/2022 Pine View Crematorium
IllEntombment Address
[]Cremation Queensbury Town, New York
ElDonation
o❑Removal Date Place Removed
and/or and/or Held
N Hold Address
0
Q. Date Point of
(/)❑Transportation
p by Common Shipment
Carrier Destination
Date I Cemetery Address
[]Disinterment
[]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
F- Remains are Shipped,If Other than Above
2 Address
cc
W _
a' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/25/2022 Registrar of Vital Statistics Cynthia_A Bardin(Electronically Signed)
(signature)
District Number 5726 Place Village Of Hudson Falls
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
H
W Date of Disposition �$-Z0Zy Place of Disposition U'h` i1 tJ cpt,rcie,+
2 (address)
W
N
c (section) (lot number) (grave number)
Name of Sexton or Person in Charge of Premises cGrlY►1iy St01a,S.
Z (please print)
W Signature Title CirrA tgfC+/
DOH-1555(07/18)p 1 of 2
e
Public Health Law Sec. 4145(2b) . 1 6
1 Receipt
1
1 Human remains of 'delivered on , 20 •
i
I _ ,
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#