The URL can be used to link to this page

Bovee, Kathryn Y jotun O ueeni u'r . rtr►E VIEW CEMETERY rind CREMATORIUM QLIAKFR ROAD. QUEENSQURY, NEW YORK 12801 (518) 798.4 72G (518) 79:3-9777 Funeral Dirictor t/-""VE 701AI t1,mA m-s1 aA-r ,yw sakk ,,e- Case No. T UaLe of Cremation Tints Cremation Started i Time Cremation Completed o2�yC�"P�/Y1 i T of Container j��©/T/TPcimrks s� r _1__114�/,�-� �,1•SAD�i/17 7 TOWN OF QUEENSBURY PINE VIEW CEMETERY do CREMATORIUM Quaker Road, Queensbury, New York 12804 Phone (518) Crematorium 798-4726 or if no answer Cemetery 793-9777 AUTIIORIZATION TO CREMATE 'rhe undersigned requests and authorizes Pine View Crematorium, in accordance with and subject to its Rules and Regulations to cremate the remains of: Name Kathr n N . Bovee female Sex Pattens Mills Rd Fort Ann NY 12827 Street City State Zip Code who died on 23rd March day of 19 92 at her home Pattens Mills Rd , Fort Ann , NY Macel Address —— Name and address of nearest living relative or name of person authorizing cremation: Mr . Trevor Bovee , Pattens Mills Rd , Fort Ann , NY 12827 Name Address Relationship to the deceased son Name of the funeral home carleton Funeral Home , Inc . IMPORTANT: I represent that to the best of my knowledge, the deceased, M $HAS NO pacemaker in his or her body. (CIRCLE ONE) 1 certify that I have the full power and authorization to arrange for the cremation of the remains and to direct the disposition of the cremated remains, that any personal possessions have either been removed or may be destroyed, and agree to protect, defend and save harmless Pine View Crematorium, from any and all claims and demands for loss or damages which may be made against them by reason of, or connected with the cremation of said remains d as ir whether such claims or demands are, or are not, wholly groundless, false or fraudulent. ti Witness Hudson Signature o Relat ve or Legal Rep. Falls , NY p Fort Ann, NY Address Address Signed on this date March 23 , 1992