Biggie, Alton ' rro rv4N OF QUEENSBURY
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director � u rk Q ly�5
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Remarks :
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TOWN OF QUEENSBURY
PINE VIEW CEMETERY
CREMATORIUM
Quaker Road, Queensbury, New York 12804
Phone (518) Crematorium 745-4477 or if no answer
Cemetery 745-4476
AUTHORIZATION TO CREMATE
The undersigned requests and authorizes Pine View Crematorium, in
accordance with and subject to its Rules and Regulations to
cremate the remains of:
Alton F. Biggie Male
(Name) (Sex)
30 Waterbury Street, Saratoga Springs. New York- 12866
(Street ) (City) (State) (Zip Code)
who died on 8 day of June x1a000
at Saratoga Hospital, 211 Church St, Saratoga Springs, NY, 12866
(Place) (Address)
Name and address of nearest living relative or name of person
authorizing cremation :
Mabel Biggie, 30 Waterbury Street, Saratoga Springs, NY, 12866
(Name) (Address)
Relationship to the deceased Wife
Name of Funeral Home William J. Burke & Sons Funeral Home
IMPORTANT:
I represent that to the best of my knowledge, the deceased has or
has no pacemaker in his or her body. (Circle One)
I certify that I have the full power and authorization to arrange
for the cremation of the remains and to direct the disposition )f
the cremated remains, that any personal possessions have either
been removed or may be destroyed, and agree to prof& t,° defend
and save harmless Pine View Crematorium from any and , claims
and demands for loss or damages which may be made agai � them by
reason of or connected with the cremation of said remains as
directed, whether such claims or demands are or are not wholly
groundless, fa or fraudulent. William J. Burke & SRRS
628 North Broadway
(Witness) (Addres 18) 584-5373
�a� �L , IJ , 30 Waterbury St, SS, NY, 12866
(Signature of Relative or Legal Rep. and Address)
Signed on this date : June 8 , 2nC10
DISPOSITION OF CREMATED REMAINS
I hereby direct Pine View Crematorium to dispose of the cremated
remains as follows :
Mail to Burke Funeral Home will pick up
Other arrangements - please specify :
If pulverization of cremate remains is requested, check her acxxxx
POLICIES, RULES AND REGULATIONS
1. The crematorium will be open for cremations 5 days a week
7:00 A. M. - 3:30 P. M. Monday-Friday. No Holidays or Sundays,
arrangements can be made for Saturday. Prearrangements by
telephone for acceptance of remains is necessary.
2. Pine View Crematorium is located on the grounds of the Pine
View Cemetery, Quaker Road, Town of Queensbury.
3. An authorization for cremation properly signed by the nearest
next of kin or other authorized person stating that they do have
the power and authority to arrange for the cremation of the
remains and to direct the disposition of the cremated remains,
that any personal possessions have either been removed or may be
destroyed and agree to protect, defend and save harmless Pine
View Crematorium from any and all claims and demands for loss of
damages which may be made against them by reason of or connected
with the cremation of said remains and/or disposition of said
remains as directed, whether such claims or demands are, or are
not wholly groundless, false or fraudulent. This authorization
in addition to a regular burial permit must accompany the
remains.
4. All remains must. be encased in a casket or suitable alternate
container. Caskets and containers must be of combustible
material. No styrafoam or plastic containers will be accepted.
5. The question relative to cardiac pacemakers must be answered
on th# authorization to cremate form before the remains will be
accep' ed.
6. Unless other arrangements are made the cremated remains will
be mailed via Registered U. S. Mail within three days of cremation
to the funeral home handling the service. There will be a $10. 00
charge for "this service.
1"
Cremation, ' ddministration Costs and Recording Fee : Adult $155. 00
Children (age 13 months to 12 years) $90. 00 Infants (stillborn
to 12 months) $50. 00