Murphy, Julia A 4621
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NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Vital Records Burial - Transit Permit
Name First Middle Last Sex
Julia A.Murphy Female
Date of Death Age If Veteran of U.S.Armed Forces,
08/04/2022 74 Years War or Dates
I._ Place of Death Hospital,Institution or
EZ City,Town or Village Albany Street Address St Peters Hospital
Mannerof Death IJNaturalCause ❑Accident Homicide OSuicide Undetermined Pending
W
c) Circumstances Investigation
WW Medical Certifier Name Title
0
Andre EI-Hajj MD
Address
315 S Manning Blvd,Albany,New York 12208
Death Certificate Filed City Of Albany Distrid Number Register Number
Cut ,Town or Ville 0101 1818
Burial Date Cemetery,Crematory or Facility Name
08/08/2022 Pine View Crematory
Entombment Address
Cremation Queensbuiy,New York
Donation
Removal Date Place Removed
and/or and/or Held
to ,Hold Address
O
d Date Point of
N Dransportation
p by Common Shipment
Carrier Destination
Date Cemetery Address
Disinterment
'DReinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Singleton Sullivan Potter Funeral Home 01598
Address
407 Bay Rd,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
i— Remains are Shipped,If Other than Above
5 Address
uCC
a Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 08/08/2022 Registrar of Vital Statistics Class&Sgillsspis(EkarintaaQySrgtiv4
/signature)
District Number 0101 Place City Of Albany
`.._ I certify that the remains of the decedent identified above were disposed of in accordance with this permit on;
W Date of Disposition $I¶I ZZ Place of Disposition FAA t.U� t..
(address)
W
N (section) /r^el/ot er/ (grave number)
cc
8 Name of Sexton or Person in Charge of remises _SIN,
/ se print!
W Signature Title rPFinll4f�le
DOH-1555(o7/t8)p i of 2
/ /
Public Health Law Sec. 4145(2b)
1
jReceipt
1
1
1 Human remains of delivered on , 20
1
1
1
1
1
1 Pine View Cemetery Representing the funeral home named on burial permit
1Official Funeral Directors Reg.or License#