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Pfeiffer, Joan H
(1.7T-1) NEW YORKSTATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Joan H.Pfeiffer Female Date of Death Age If Veteran of U.S.Armed Forces, 02/23/2024 91 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Granville Village Street Address Granville Center for Rehabilitation and Nursing ILI `p Manner of Death ❑X Natural Cause Accident n Homicide nSuicide Undetermined Pending Circumstances Investigation W Medical Certifier Name Title G Joshua Started NP Address 17 Madison St,Granville Village,New York 12832 Death Certificate Filed Village Of Granville District Number Register Number City,Town or Village 5725 6 Burial Date Cemetery,Crematory or Facility Name 02/28/2024 Pine View Crematory Entombment Address ©Cremation Queensbury,New York Donation 0 Removal Date Place Removed and/or and/or Held N Hold Address O LL Date Point of U) Transportation B by Common Shipment Carrier Destination Disinterment El 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 F— Remains are Shipped,If Other than Above a Address CC W LI' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/28/2024 Registrar of Vital Statistics Diana Scar(otta(E(ectronica((y Signed) (signature) District Number 5725 Place Village Of Granville I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: II Z Date of Disposition a-,g?',A6.211 Place of Disposition i �P V e ,/ C -1ti1 4ti4{0r 75 2 (address) W (section) (lot umber) (grave number) 8 Name of Sexton or Person in Charge of ise �kym e.� w�c ember) / _L (please print) W Signature I / Title 4v T`- DOH-1555(07/18)p t of 2 .. - 32 0 '1, 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#