Hammond, Joyce E 14 P.
NEWYORKSTATEDEPARTMENTOFHEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Joyce E.Hammond Female
Date of Death Age If Veteran of U.S.Armed Forces,
06/28/2023 84 Years War or Dates
F Place of Death Hospital,Institution or
W City,Town or Village Glens Falls Street Address Glens Falls Hospital
W Manner of Death El Natural Cause Accident ❑Homicide Suicide FlUndetermined Pending
U Circumstances Investigation
LU Medical Certifier Name Title
aAbigail Macomber PA
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 320
El Burial Date Cemetery,Crematory or Facility Name
06/30/2023 Pine View Crematorium
Entombment Address
MCremation Queensbury Town,New York
❑Donation
oRemoval Date Place Removed
and/or and/or Held
- Hold Address
to
0
CL Date Point of
N❑Transportation
-es Common Shipment
Carrier Destination
Disinterment Date Cemetery Address
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
H Remains are Shipped,If Other than Above
" Address
CC
W
• Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 06/30/2023 Registrar of Vital Statistics Megan Wolin(Electronically 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:
I-
W Date of Disposition 7/_2p13 Place of Disposition 7 V/, Vv Cry--r✓1q-L 1•
2 (address)
W
N
CC (section) (lot number) (grave number)
GName of Sexton or Person in Charge f Premises �� Kri t)A)b woo
z w /// (please print)
tL Signature ( � /� Title petr<,,�- ,`—
DOH-1555(07/18)p 1 of 2
n y 7 Sryp,
Public Health Law Sec. 4145(2b)
Receipt
Human remains of ',: f' 'j ; delivered on -'f'-- , 20 --'
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Pine View Cemetery •Representing the funeral home named,9n/tyyr�lf I'
eta-nit
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Official Funeral Directors Reg. or License#7 (