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Davis, Stanley T074N OF QUEEVBURY PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director Name �// /Y�� 7 �/T�//rs Case # ZZ Date of Cremation ! p Time Cremation Started /.-7- Time Cremation Completed / / 302 lorlr` Type of Container IftJ /7R � ggrC4 ZVV Remarks : ��� Tljil F17, LORE HILL .F, a F I From ark i Dare Hill C F. Questions'? CaI15Y8-483-8411 ex! Caller Box 20 Fax 518 4831 8411 . ext 220 Malone,_NY I 295C -Fo- u ILL Date (1r:,,1 v,r- thos �,,nol 114 114411/ 5)3 DIM C�f lk s� 4 7- 7