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Morrison, Joy Karen NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joy Karen Morrison Female Date of Death Age If Veteran of U.S.Armed Forces, 02/13/2023 72 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address 19 Webster Avenue,Glens Falls, New York 12801 LU p Manner of Death DKI Natural Cause Accident El Homicide Suicide Undetermined riPending W C.) Circumstances Investigation W Medical Certifier Name Title 0 Agee!Gillani 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 82 Burial Date Cemetery,Crematory or Facility Name 02/14/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed and/or and/or Held N Hold Address 0 a Date Point of (/) Transportation Shipment p by Common Carrier Destination O Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 Address 136 Main St,S Glens Falls, New York 12803 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above 5 Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/14/2023 Registrar of Vital Statistics Megan Nolin(E(ectronica((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: r' Z Date of Disposition �jb�� Place of Disposition i 0 0:e. C 4 LU (address) W CC (section) (lot number) (grave number) 0 1.Name of Sexton or Person in Charge of Pre ises ���v� W p Z � � (please print) Lu Signature Title bf'PTti- DOH-1555(07/18)p 1 of 2 i Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#