Bright, George y
i O%N OF QUEEVBU-qZy
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director. fdso, `a
Name �OEO&k: Case # _���
Date of Cremation Q
Time Cremation Started -2,
Time Cremation Completed
Type of Container � � /� j �
Remarks :
AV I A
Y w M
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07/11/1996 11:41 305-763-9506 LIVIH' i,JORLD TOURS PAGE 01
From - L)kk.)1 Li G:. _---, l ririF.
TOWN OV OUEENSDURY
PtW, VIEW LEMETERY
A
CitcMA 10R 1UM
GuaNer' F2oaC1, Uwognsbury, New York
Phuns (!218) Cromatorlum 74'5 •447I ur it no ar,%vY#r
Cemrivrr' 74"A -4,476
AUTHORIZATION TO CRCMAIE
The gviderslgnvd rnpuests Ond a"Mor"" P)nv Vivw i:relna4Uriutw4 in
occord4oce with ood subject to Its Hates and Rtgul#439ns to
cremate the remsin4 oft
Y George Howard Bright , ,Jr Mai *
(Namv) (5ek ►
1 BA0__.T1 Q4 F i 32960 _ - -
(6treetJ (city) (btAte ) t1 : p poor )
who died on _ l 1 t�.. _._-. _... ...._�u Y Of
•t....RP.,s�..1t1.e.uIC-�.---- _._._K.�.�u�...--,�Itead. _�..,.,._� ------�--..�:...�...�... _.......�.--.-..-
(Pl ace )
itiY►wr Writi atldrii�s u� �`trexritft .e3Vif�y i"C11Y iv,� or riled! of oer'son
suthvr`3 z i np cr`*last 3 an )
Peter L . Bright 15(28 NE 2nd Ave Ft. Lauderdale , FL 33304 ,
(Naz►e ) / (Awdrvss)
Rolatlonshili �a tt+e deaea•►ed SON
W. M. IMarvinIs Sons Inc .
Neese of i'unoral Not _ ----
IMPORTANTi
ecrrlt 'that tq the Dest ut my )inowlydfle, the deCea~srd has or
h . no p cvotakvr 3n llti ar her Body. tLif Gi�rf
I cort ) ty th8t I nave t)ja' full Bower end author) zwt ion to arrange
for the trweAtsan df the remains ana to d3rr-t the 0% *P0% it1VM of
the erwoateel r'emaini, tfiat any pPr-SQn&1 possessivits have rithel'
bpeh rssOVeC7 0 w4ly be [lautr'uyed, and aprer to protect, d9*er,N
and savt harmlv�% Pine View Lrex4torlum from a(sy and all e16165
NnO demands furl Ioss or damages which may ne maug ago jnst these Cy
reaton of ar annectto with the cremat ) vn of said remains as
directed, whet :r such >cla) ms Dr derands are or are not wholly
NrDuhc)lestii 1'�lsL
feoodulent .
(Witness ) to�dsires c )
15lynotur,-v oy Relat ) • r Legal Rep. and Address) %�A
signed on this <)at i_. _.�_ - -- ✓ clQ