Tilley, Winthrop T074N OF QUEEVBU9�y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director 62a1J i!!�6—C
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Name ,F Case # -3
Date of Cremation /—ZZ- 23
Time Cremation Started
Time Cremation Completediil���/�l
Type of Container 4f,!j 6C1/g/FP 15r,
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