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Giordano, Joseph Francis #7„ NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joseph Francis Giordano Male Date of Death Age If Veteran of U.S.Armed Forces, 09/21/2023 79 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Queensbury Town Street Address 16 Roosevelt Avenue,Queensbury Town,New York 12804 • Manner of Death 1=1 Natural Cause Accident El Homicide Suicide Undetermined riPending Circumstances Investigation W Medical Certifier Name Title O Courtney Bowers NP Address 3 Irongate Center,Glens Falls,New York 12801 Death Certificate Filed Town Of Queensbury District Number Register Number City,Town or Village 5657 150 Burial Date Cemetery,Crematory or Facility Name 09/22/2023 Pine View Crematory _Entombment Address ©Cremation Queensbury Town,New York Donation ❑Removal Date Place Removed and/or and/or Held _ N Hold Address 0 a. Date Point of fA Transportation by Common Shipment Carrier Destination ODisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Maynard D Baker Funeral Home 01130 Address 11 Lafayette St,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom i— Remains are Shipped,If Other than Above 2 Address CC n' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 09/22/2023 Registrar of Vital Statistics Caroline J/i&egarte Barber(ECectronica((y Signed) (signature) District Number 5657 Place Town Of Queensbury I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition /,Z3 11213 Place of Disposition r zki vie 2 (address/ W N (section) (lot number) (grave number) gName of Sexton or Person in Charge of Pre ises Z (please print) W Signature r l ; Title r ariAoi— DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 731. 1 Receipt Human remains of delivered on , 20 Pine View Cemetery- Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# •