Tropean, Johanna Deborah NEW YORK STATE DEPARTMENT OF HEALTH -F Burial- Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Johanna Deborah Tropean Female
Date of Death Age If Veteran of U.S.Armed Forces,
03/17/2024 85 Years War or Dates
Place of Death Hospital,Institution or
Z City,Town or Village Glens Falls Street Address Glens Falls Hospital
pManner of Death El Natural Cause EAccident El Homicide ESuicide FlUndetermined Pending
W Circumstances Investigation
W Medical Certifier Name Title
C) Salem Hawa MD
Address
9 Carey Road,Queensbury Town,New York 12804
Death Certificate Filed City Of Glens Falls District Number Register Number
City,Town or Village 5601 156
Burial Date Cemetery,Crematory or Facility Name
03/19/2024 Pine View Crematory
Entombment Address
®Cremation Queensbury Town,New York
DDonation
❑Removal Date Place Removed
and/or and/or Held
~ Hold Address
N
0
a Date Point of
Cl) Transportation Shipment
p by Common
Carrier Destination
ODisinterment Date Cemetery Address
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Maynard D Baker Funeral Home 01130
Address
11 Lafayette St,Queensbury,New York 12804
Name of Funeral Firm Making Disposition or to Whom
H. Remains are Shipped,If Other than Above
2 Address
CC
W
CI. Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 03/18/2024 Registrar of Vital Statistics 9Kegan Nan(E1 ctronicaly 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:
WDate of Disposition 3)20121 Place of Disposition ;wf vSf �✓ <P, "6Q'jl•/€: _
2 (address)
W
CC N (section) /I (lot number)c., (grave number)
8 Name of Sexton or Person in Charge,Premises °"
1►(please print)
Z
W Signature Title � "�'°)470'^`'
DOH-1555(07/18)p 1 of 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
Official Funeral Directors Reg.or License#