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Joyce, Eileen P LF Vly NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Eileen P Joyce Female Date of Death Age If Veteran of U.S.Armed Forces, 08/25/2023 77 Years War or Dates i_ Place of Death Hospital,Institution or uJ City,Town or Village Glens Falls Street Address Glens Falls Hospital a Manner of Death IZI Natural Cause Accident Homicide Suicide Undetermined Pending WW Circumstances Investigation isMedical Certifier Name Title Scott Biasetti 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 397 Burial Date Cemetery,Crematory or Facility Name 08/28/2023 Pineview Crematorium Entombment _ Address ©Cremation Queensbury Town,New York Donation OZ❑Removal Date Place Removed F and/or and/or Held N Hold Address 2 Date Point of to❑Transportation a by Common Shipment Carrier Destination Date Cemetery Address Disinterment nterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Radloff Funeral Home Inc 01425 Address 136 Warren St,Glens Falls,New York 12801 Name of Funeral Firm Making Disposition or to Whom f. Remains are Shipped,If Other than Above 2 Address Q W a Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 08/28/2023 Registrar of Vital Statistics Megan Nolin(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 -fi3Z,.z�,1 Place of Disposition ^r; �p V�'et-,J C-t(a((address) W rc (section) ;� (lot number) (grave number) 8 Name of Sexton or Person in Cha f Premi AYN1 Alp o A Z (please print) W Signature 4-043Title yecr r DOH-1555(07/18)p 1 of 2 ` I 7 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on - , 20 Pine View Cemetery Representing the funeral home named on burialpermit Official Funeral Directors Reg.or License#