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Harrriman, JoAnn 0, 6,L2 e NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex JoAnn Harriman Female Date of Death Age If Veteran of U.S.Armed Forces, 07/25/2023 70 Years War or Dates i_ Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital p Manner of Death ©Natural Cause Accident Homicide Suicide Undetermined ❑Pending QW Circumstances Investigation Medical Certifier Name Title Alon Jacobs-Friedman NP Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 1745 BurialR Date Cemetery,Crematory or Facility Name 07/28/2023 Pine View Crematorium Entombment Address ©Cremation Queensbury Town,New York Donation cs 0 Removal Date Place Removed H and/or and/or Held N Hold Address 0 t1. Date Point of V)❑Transportation p by Common Shipment Carrier Destination ODisinterment 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 E— Remains are Shipped,If Other than Above 2 Address re W Q. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 07/27/2023 Registrar of Vital Statistics cDanie Ili SGilrespie(E(ectronicalySigned) (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: I- Z Date of Disposition 7t?-�Z3 Place of Disposition Pi if( �reo) ere-01.,�Fd 1'3:: (address) _.3 W (!) ir (section/ ^� (lot number) f (grave number) 0 Name of Sexton or Person in Cha f Pre is iS 14�1'ltO.a hJ0 1 (please print) IiJ Signature 1 Title p vsw.-� DOH-1555(07/18)p 1 of 2 i t !. 9 1 Public Health Law Sec. 4145(2b) Receipt 1 1 Human remains of delivered on , 20 .: Pine View Cemetery Representing the funeral home named on burial-permit Official Funeral Directors Reg.or License# 0` .. ' ',,