Portalatin, Edward "O I+N OF QUEEN,5BU-I�y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director hl? /yCOcAmorr
Name ,CF17A)hgJ /c�11 ���19 f`/� Case #
Date of Cremation
Time Cremation Started ��fjl,�'/9//� 1
Time Cremation Completed D� alml
Type of Container
Remarks :
/ ', 41 M I
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