The URL can be used to link to this page

Smith, Paige Emily 41- S°I NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Paige Emily Smith Female Date of Death Age If Veteran of U.S.Armed Forces, 06/04/2023 25 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Troy Street Address 28 119th Street,Troy,New York 12182 p Manner of Death []Natural Cause []Accident n Homicide []Suicide Undetermined Pending 1U Circumstances Investigation U W Medical Certifier Name Title 0 Kia Newman MD Address 7th Avenue,Troy,New York 12180 Death Certificate Filed City Of Troy District Number Register Number City,Town or Village 4102 298 Burial Date Cemetery,Crematory or Facility Name 06/19/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation _nRemoval Date Place Removed and/or and/or Held t Hold Address 0 Date Point of N❑Transportation Shipment Q by Common Carrier Destination []Disinterment Date Cemetery Address EI 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 Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 06/08/2023 Registrar of Vital Statistics .7(eat(erLWu(inio(E(ectronica1TySigned) (signature) District Number 4102 Place City Of Troy I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition (4,170(15 Place of Disposition 2 r(address) W NCC (section) (lot number) (grave number) 0 Name of Sexton or Person in Charge of Premises di., Z (p ase print) W Signature Title fI 4174- / DOH-1555(07/18)p i of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on;burilfermit Official Funeral Directors Reg.or License#