Bauer, Evelyn L O g YN OF QUEEN,5BU9�Y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director j.cl , royvd—ack rrt-fYlarzoh, A,55cQ.i
Name V15z IT 1`+ 1/" U A Case # �l
Date of Cremation d,
Time Cremation Started [ ( ►R / ✓
2 m
Time Cremation Completed It 30
Type of Container _�i (�mW= 1-7-51CAS-Q Oct/ h2/� �y
Remarks :
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