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Boccho, Marie B
_if 7_7 k' NEW YORKSTATE DEPARTMENT OF HEALTH k� Burial - Transit Permit Bureau of Vital Records I Sex Name First Middle LastFemale Marie B Bocchi Date of Death I Age If Veteran of U.S.Armed Forces, 01/05/2024 75 Years War or Dates Place Death Hospital,Institution or i_ ofStreet Address Glens Falls Hospital ZCity,Town or Village Glens Falls Undetermined Pending p Manner of Death 0 Natural Cause Accident Homicide Suicide ❑Circumstances Investigation W W Title Medical Certifier Name MD p Scott Biasetti Address 100 Park St,Glens Falls,New York 12801 I Register Number Death Certificate Filed City Of Glens Falls District Number 5601 9 City,Town or Village BurialE Date Cemetery,Crematory or Facility Name 01/08/2024 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation Date Place Removed 0Z❑Removal and/or Held and/or CD Address Date Point of y❑Transportation Shipment by Common Carrier Destination Date Cemetery Address Disinterment Date Cemetery Address ci Reinterment Registration Number Permit Issued to 01596 Name of Funeral Home Singleton Sullivan Potter Funeral Home Address 407 Bay Rd,Queensbury,New York 12804 Name of Funeral Firm Making Disposition or to Whom H 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 01/08/2024 Registrar of Vital Statistics Megan Train(ECectronicalTySigned) (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: ~ 2 Tr wiCiE J G 4Tv c.4 W Date of Disposition ( 1 %a Place of Disposition (address) W N (section) / (tot number) t Z (grave number) 0 Name of Sexton or Person in Charge of Premises e". Q (p/ a print/ W Signature Title iveoe 1 DOH-1555(07/18)p i of 2 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on Pine View Cemetery Representing the funeral home named Official Funeral Directors Reg.or License#_