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Rivera, William 7014N of QUEEVBU9� PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director gn/87 !U/r — //ICOAC. 71 KJ J � NameJ)(kk1kd/-0 4eI//j4 U Case #Z00 Date of Cremation '3 — /� rh � AA Time Cremation Started 6CJ / /! 44 ` Time Cremation Completed Type of Container c///11/./_7O/7/� J/ �$ / C�✓�,�� Q/� ��i��j9� Remarks : Al i4i/J ,C3y1r'i�l��' o�( •!D �i l� it � �'a3l9�m �u.-a�t..rraew�wv.aw.+��nn rN- -... w•-, - - ��. ..�..--..•+-.+aw.s��.--� .: - JUL 1= ''Y` 10: 14 BWE HILL _ F. �.:;,� ,v.. �.�, :,:<',�:':'; F. 1: 1'- t �� •t. �a 4�' �' �T'�P\+I`�;r'i'(!7l t.•.4 Alt+.;•�, • From; Tammy Fitzsimmons, HAC, at - Bare Hlll (; F uashons? Call 518-483-8417 ext. Caller Box 20 Fax 518AiU-8411 ext 220 Malone NY 12953 To: ew Cremzi tor'ium Address. Town t�: � ueensbury Date-- 3,1 a.'9 5 Time: _?Ci: a.::�._-- - -- - _ ----• t 2 �� _�!�-1CI��L}'ilC�t'21S U11B,1-- 1 - t::e a _ art I)eYzi�t :'uneral Home, lr,cv > pine Steet , Cher.crt� Tr , `'Y `, L the right cremate the r—emal.ls of "'Jill faw. k1vera, 91A t,� Si.►t i.. n MarC_- 12 99 -t--. 01) -- -- -`-- t1e E? Cc:]LCI f.G +t lta., .0 v .v . :11.i mot` ,-�,),;r'aR?'.,t,; r. Tf��Y� '�-!"•/�;�'��'yy Y��i�'•,^'r•:•+ .d•. .� � -. .. y:i{i.f:'�..•+7•,,,s::'y�"}_?i:�;•�4 �k`�;��•.i•�d�.�!]ib�'-•�r.! .� �. _ .�,J, _ - - . Z t•`y(J. C:.�� Y�-:_ ._.:"3 ci,'<,'`ti`Ar,::f,.i',L:= r .C'is%+r,'-;i•, ..