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Harig, Joyce Philo toy t cz NEW YORKSTATE DEPARTMENT OF HEALTH Bureau of Vital Records Burial - Transit Permit Name First Middle Last Sex Joyce Philo Harig Female Date of Death Age If Veteran of U.S.Armed Forces,. 10/10/2023 98 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Moreau Town Street Address 198 Bluebird Road,Moreau Town, New York 12803 O Manner of Death ❑X Natural Cause Accident Homicide Suicide ❑Undetermined ri Pending ILI Circumstances Investigation W Medical Certifier Name Title 0 Madison Zuis NP Address 9 Carey Road,Queensbury Town,New York 12804 Death Certificate Filed Town Of Moreau District Number Register Number City,Town or Village 4562 55 Burial Date Cemetery,Crematory or Facility Name 10/12/2023 Pine View Crematory Entombment Address ©Cremation Queensbury,New York Donation ❑Removal Date Place Removed and/or and/or Held N Hold Address 0 Q. Date Point of (I)❑Transportation Q by Common Shipment Carrier Destination Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Singleton Sullivan Potter Funeral Home 01596 Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom II— Remains are Shipped,If Other than Above a Address CC W O. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/12/2023 Registrar of Vital Statistics Brenda Jfutter(ECectronicat[y Signed) (signature) District Number 4562 Place Town Of Moreau I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z ,� Date of Disposition /Q—/y Zp2 3 Place of Disposition (I'�'n12 &,,,,) C/`Gi$14,416r-✓A (address)! W CC (section) ,/ (/ number) (grave number) Name of Sexton or Person in Charge of emis s/ 7fy1Qi✓� � Z (please print) W Signature Title � era.,-1 C-- DOH-1555(07/18)p 1 of 2 r 1 v C Public Health Law Sec. 4145(2b) t ) ; :a9 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#