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Porcaro, Judith Ann NEW YORK STATE DEPARTMENT OF HEALTH "• BureauBurial - Transit Permit of Vital Records Name First Middle Last Sex Judith Ann Porcero Female Date of Death Age If Veteran of U.S.Armed Forces, 02/25/2024 81 Years War or Dates f.. Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital ,p Manner of Death ZI Natural Cause Accident El Homicide ESuicide Undetermined ri Pending V Circumstances Investigation 0Ili Medical Certifier Name Title Mikram Jafri MD Address 152 Sherman Ave,Queensbury Town,New York 12801 Death Certificate Filed City Of Glens Falls District Number Register Number City,Town or Village 5601 123 Burial Date Cemetery,Crematory or Facility Name 02/29/2024 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York DDonation ZO❑Removal Date Place Removed and/or and/or Held N Hold Address O 0- Date Point of (/)ElTransportation ES Common Shipment Carrier Destination ODisinterment Date Cemetery Address OReinterment 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 -. Remains are Shipped,If Other than Above a Address CC W G. Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 02/29/2024 Registrar of Vital Statistics Megan No(in(ECectronicaCCy 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: W Date of Disposition _3-2-o 3 Place of Disposition F;'i�) �,�,e 2 (address--" W N Q (section) '/ (lot number) (grave number) Name of Sexton or Person in Cha of Premisea� e�f 7t,4 ✓c. e (please print) W Signature ~r ' %oe d�-e--, g ¶l Title DOH-1555(07/18)p 1 of 2 � Pew 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#