Washburne, Violet zo 14N OF QUEEVBUP,.Y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director , � C
Name V I 0 e-T C/V ASV1 bur N a s e N Z-/
Date of Cremation 1-3 —
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Time Cremation Started 0 d
Time Cremation Completed
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Signed on this d.t r t ja-)'Jazy 1, 1997
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