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Harrington, Gertrude } Z" OF QUEEN 5 -(�y PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 �7 Funeral Director aTe�� l �"��� rLi 'l�iJ7 INJrfli` Case# Z _arse 0f Cremation :Te Cremation Started �— ' : ^e Cremation Completed �e of Container);Alr7d�-�,; z4iz�� .e7,arks 4 ZR�r Town of Quoensbtuy pine View Cemwelry►and Cam 21 Quaker ROW,QueensbW.New York, 12804 Cemetery O>iim(518)745r4476,Crematorium:(518)745.4477 Authorization W Gres The WWWWWW requeats Wd cut orbW pke Vis4Car Crem or m.in accadmM va mac!sut jW too Is Rules mW Rued ms to creavo Lr /�7U�`^LfnJG�i'I) ( ) t$ed ( ) (aty) (:j Mcfto Pp code) vrha died on day of —J a< T u (1,10m) game address ofnsanast nlatNeraname afperson authottairg aennadorx or�ip►to dra deoesaed o� lime of Funeral Home vac ^' ►3 IMpOR AW. i repreeena mat tD the Deaf of my tawwledge.the deceased(mod Area or any adw bat w operated device In his or her•body fMde One) 1 aetd[y t11eE t traMa tat parrennd aulhorfmparr 1Qaaaape for the aoawBan oftha arreretrreandb dlnsrt the dispoaldon of Mira dimbeimrawad tamandmmairr►thet u�PeaorrP amaf►bed > b0 defend8nd o savelreeaateasl�(aeVMr�raQerlreAadulsi�oareadaedaMda6rsarddsrlddstbrfoesaaww�pasnflidiasadrbeaAsdaaaa #No byr�eaaar coreaclaiiw>�goal aredortafs118moNftsod tV*A ara�tiiasardaser+elaaPeorsasaotwhaN and of th a } Sbned an is daW 3 f� DWoWmofCmvWmdPAnwkw I hoaby ar ed pkw Vbw Cremeanduro to dlepose of"crrAmeW M(Mft as klla""c I"to ., Othererr+engernerrs-Pteaeespediy: ff pudrwbsdm of arenralad reawk s Is requested.Cl frets Revision Jammy 1.20M