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Davenport, Lorraine
r _ rl-nl N 4F QUEEN475BUPY PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director dgEk-)�-A Name 'Cj 4 &� Case # Date of Cremation 16 f A^ Time Cremation Started /0 5<) RIA4 1 Time Cremation Completed Type of Container ��///r/ //r col 7' Remarks : A1,4i N ,90",G-,q 0,4 14 /�67-0 // // a ` o© PEA �