McNeill, Arthur TOWN OF QUEEN,5BU9�
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director
Name AR7- U1f Case #
Date of Cremation �/ "� aoo'-5
Time Cremation Started Z� L� elm
Time Cremation Completed PlM �
Type of Container Gh�,qegq/'qfi-p
Remarks :
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TOWN OF QUEENSBURY
PINE VIEW CEMETERY
& P��
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:
Arthur Edward McNeill Male
(Name) (Sex)
5 Bateman Drive, Warrensburg, New York 12885
(Street) (City) (State) (Zip Code)
who died on the 7th day of November 2000
at The Glens Falls Hospital, Glens Falls, New York 12801
(Place) (Address)
Name and address of nearest living relative or name of person
authorizing cremation:
Mrs. Agnes L. McNeill
(Name) (Address )
Relationship to the deceased Wife
Name of Funeral Home Alexander Funeral Home Inca .
IMPORTANT:
I represent that to the best of my knowledge, the deceased
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 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-arid
demands for loss or damages which may be made against 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, false or fraudulent.
014MV, � Daniel J. Gravel 3809 Main St. , Warrensburg NY 12885
(Wi ness ) (Address)
(QekVLJ1C, 5 Bateman Dr., Warrensburg, New York 12885
( gnature of ative or Legal Rep. and Address )
Signed on this date: 04/13/95