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Nichols, Kenneth 7O`+N OF QUEEVBUP,.YPINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director (J US C A)IV l"4- Name K Q titv "en N / rb nL -� Case # Jf Dat e a f Cremat i en �� l / Time Cremation Started Yif/ d1l" r t Time Cremation Completed?(1-5— / MI Type of Container C 0)4=71 / 2Y2—` Remarks : 9fFAj 'd1M /q/�