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Nigro, Joseph Michael l3 - NEW YORK STATE DEPARTMENT OF HEALTH I`100F Burial — Transit Permit Bureau of Vital Records \ Name First Middle Last Sex Joseph Michael Nigro Male Date of Death Age If Veteran of U.S.Armed Forces, 11/21/2023 63 Years War or Dates Army H Place of Death Hospital,Institution or Z City,Town or Village Glens Falls Street Address Glens Falls Hospital WW Manner of Death Undetermined Pending Natural Cause Accident Homicide Suicide V Circumstances Investigation W Medical Certifier Name Title 0 David Cunningham MD Address 3 Irongate Center,Glens Falls,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 541 Burial Date Cemetery,Crematory or Facility Name 11/22/2023 Pine View Crematory Entombment _ Address ©Cremation Queensbury Town,New York Donation 8❑Removal Date Place Removed and/or and/or Held pN Hold Address 0 0. Date Point of N Transportation Shipment B by Common Carrier Destination O Disinterment Date Cemetery Address Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Regan Denny Stafford Funeral Home 01443 Address 53 Quaker Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom 1.. Remains are Shipped,If Other than Above 2 Address It W 0. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 11/21/2023 Registrar of Vital Statistics Megan Nofin(ECectronica(Ty 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 .#27-Z#2 3 Place of Disposition ?[JP 14 Pt.,) Cr 2 (address) W NCC (section) (lot number) (grave number) grAta�1) i✓Ov Name of Sexton or Person in Charge Premi es ��{ Z (please print) W Signature Title Dee)-- -t-i- DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#