Merrill, James t.
TOWN OF QUEEVBUWy
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
/r'a�i�9 Ts
Funeral Director
Name �f. � /1 Case # J �/
Date of Crematicn
Time Cremation Started .0/t/ O/ "/►'`
Time Cremation Completed 6�2?�2 jqjNAk -
Type of Container ('j
Remarks :
/41 Ai N 61,rig q M
1 � r
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AUG-18-1997 10:34 BLOOM'N ART 5186864719 P.01
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Quarter Read, Qu•sns0ury. Mew Yc" i 4
phone iblN CraZ#torsun 74%-4*77 or i{ no answer
Ctaetery 74$-4476
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who died •w 1TZtt day o'
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