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Underwood, Joyce E
71 NEW YORK STATE DEPARTMENT OF HEALTH �� Burial - Transit Permi ll Bureau of Vital Records Name First Middle Last Sex Joyce E Underwood Female Date of Death Age If Veteran of U.S.Armed Forces, 02/26/2024 83 Years War or Dates H Place of Death Hospital,Institution or Z City,Town or Village Corinth Village Street Address 230 Maple Street,Corinth Village,New York 12822 IllUnetermne W Manner of Death Natural Cause Accident n Homicide nSuicide d id Pending Circumstances Investigation W Medical Certifier Name Title C Susan Dorsey MD Address 1 West Avenue,Saratoga Springs,New York 12866 Death Certificate Filed Town Of Corinth District Number Register Number City,Town or Village 4553 12 Burial Date Cemetery,Crematory or Facility Name OM 02/28/2024 Pineview Crematory Entombment _ Address ©Cremation Queensbury Town,New York DDonation 0❑Removal Date Place Removed and/or and/or Held h- Hold Address N 0 G- Date Point of CO Dransportation p by Common Shipment Carrier Destination Disinterment Date Cemetery Address El Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Densmore Funeral Home Inc 00448 Address 7 Sherman Ave,Corinth,New York 12822 Name of Funeral Firm Making Disposition or to Whom H Remains are Shipped,If Other than Above 2 Address CC W G. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/28/2024 Registrar of Vital Statistics Brenda L Penis(Electronically Signed) (signature) District Number 4553 Place Town Of Corinth I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: I— WDate of Disposition 2 I vl till l Place of Disposition r,-14,4c.J C G.,/ gc.. ._ 2 (address) W NCC (section) (lot number) <c„ (grave number) GName of Sexton or Person in Charge of Premis "1,,p print) it W Z....: ' l 7/ Signature Title DOH-1555(07/18)p id 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 1 Official Funeral Directors Reg.or License#