Caravaggio, Joseph 5C)
NEW YORK STATE DEPARTMENT OF HEALTH .1@ Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Joseph Caravaggio Male
Date of Death Age If Veteran of U.S.Armed Forces,
07/15/2022 63 Years War or Dates
H Place of Death Hospital,institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
1111
p Manner of Death I^I Natural Cause Accident ri Homicide []Suicide Undetermined Pending
LLJ - ' Circumstances I Investigation
0 Title
LU Medical Certifier Name
C) Marvin Davidowitz MD
Address
100 Park St,Glens Falls, New York 12801
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 369
Burial Date Cemetery,Crematory or Facility Name
07/18/2022 Pine View Crematorium
[]Entombment Address
[]Cremation Queensbury Town,New York
CDonation
Date Place Removed
❑Removal and/or Hetd
F- and/or
U)
Hold Address
0
Q. Date Point of
(/)[]Transportation Shipment
Q by Common
Carrier Destination
Date Cemetery Address
Disinterment
Date Cemetery Address
[]Reinterment
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
E_ Remains are Shipped,If Other than Above
Ss_ Address
CC
W
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 07/18/2022 Registrar of Vital Statistics Megan No(in(ECectronica[(y Signed)
(signature)
District Number 5601 Place City Of Glens Falls
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
f,I— '
W Date of Disposition ,,'1,2,in Place of Disposition ,,,,(L 4
M (address)
W
NCC (section) / - (lot numbe• (grave number/
o Name of Sexton or Person in Char remises �ti CL
Z (please prm,
tt! Signature Title aw,ocy(
DOH-1555(o7/18)p 1 of 2 sce�
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Public Health Law Sec. 4145(2b)
Receipt
1 Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#