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Faggiano, Victoria 12/14/23,2:15 PM Faggiano Permit.jpg • ell State of New Jersey I CASE ID NUMBER BURIAL,CREMATION,OR TRANSIT PERMIT ' 2522711 State law requires that no person shall cremate a dead human body unless at • least 24 hours have elapsed from the time of death listed on death record. City,Borough or Township Date of Issuance Jersey City,Hudson County 12/12/2023 The Certificate of Death having been filed with above,as required by the laws of this State,permission is hereby given for the transportation,removal,burial,cremation,or other final disposition of the body of: Name of Deceased Age I Sex Victoria Florence Faggiano=- - . 72 Years , Female Place of Death 'DaMeQf Death I Time of Death New Brunswick Ci9k-Mfadlescs County ' I ., 12/7RA23 _ 2:20 AM Cause of Death - Distributive a4d'st:ptic shock ' A Proposed Place of'isposdion, Method of Disposition Pine View Cigmetety r Burial.% Queens ,1 i'York ,... ' } • - .i Transpo y grgion Camel{If Yes,/damE of Carrier 1 Name a ddress of Funeral'Holes i/volved Mich if 'Fusel-al Home , /) Carleton F neial H9pne,Ige. Jers itity,filew Jerseyb7302>'907 `` , Wien Pti Is,Ne( k r ;12839- T ii permjt must be delivered to the superiNendent of-the cemetery or crematorium where j ', hfu ial,`gn mbment,,or oreatatiatis 'Slime,w io }iliin the_spaces below and • r r within ten days to tb Istrar of Vital/SOOI S,of the dieplat in which_the e letary pr crematciciufl ichlo* -. .1 i / y ! f r Wei n burial takes placer in a$emete whic`lffias io .-,n in{Charge,thettipaces belcyv sh Nil i in by the funeral dveC*,,w o slibuid.wnte",, pe ri'in charge"-pn the line fb/ tttffffff Si ure;of,:Superint ntof Ce etery QI1GA is a Turn an ijila-the,pefreit with tbe1 R r pf ttal Sta istfclt of th ;district in whictytie`ce etfary is Wafted. tips lw j requi thatthie'be done within ted aysaf b•ur / I �/ j ,. i (N ., erp_,„....As d}, e , r , .,,, , ., (Date of Burial or Entombment) , -• � at;, ❑AM U PM (Date and Time of Cremation) (Signature of Superintendent of Cemetery or Crematorium) PENALTY FOR DISPOSAL WITHOUT PERMIT-$50 TO$100 REG•21X This Burial,Cremation or Transit Permit is electronically produced by NJ- Burial Permit ID M'r(07 EDRS and can be verified through the EDRS website at https:l/edrs.nj.gov 34990100 https://mail.google.com/mail/u/0/#inbox?projector=l 1/1 0 17, 0 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 i . Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License# Thornton Owner Angela Thornton/for Victoria Faggiano Address Plot 16 Pine Rd. South Glens Falls, NY 12803 Seneca Phone # Lot # 518-522-4470 7 B Deed # Date 4422 12 .10.23 Cost Foundation Y - N $800.00 Location North-Simmes South-Simmes West-Path EAst-Vacant Remarks I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE PINE VIEW CEMETERY: SIGNATURE: DATE: /a r/O S SIGNATURE: DATE: Record of Interments 1 ID- a�t o 146 ��-�R,�► ��� 2 c 2 7 3 8 4 9 5 10 n i.J 11/ gc crcrnck--,/ /q J C A G /sect7 c z/q n T 5 FAGGIANO /11D NAME Victoria Faggiano Age: 72 Lot Owner: Angela Thornton Lot# Seneca 7B Grave# 1 Case: Concrete Died:1 2.7.2 3 Interred: 1 2. 14.2 3 Funeral Home: Carleton Cemetery: Pine View