Loading...
DeSantis, Pearl i TOT OF QUEEN,50U-�y PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4-477 Funeral Director 11L i%-l. ✓- - 1-4 r1Z Ci Casey 7 -ate Of Cremation '4� Zoo Cremation Started •:-:e Cremation Completed_ A " . e of Container Ga cQ (soc4v2,Jn �A-41 ;e�arks 1:7 3 , FROM:JOHN Ai.EXANOEiR To!SR. BANDER DATI:04ADA&1D04 T)M[i A I:A2 PM PA.M Y Ora . FROM ALE8AND FUNERAL HOMES ?HOhE hi0. 518b232065 Apr. 06 2004 05:OWM.p ,,.,,.,,,. 2 ER TOWN OF QU6IrI Supy Pl%f.VIEW CEMPTER'Y a CRWATORIUM Quftff Rood.QWvwWbury, NaW Yaf1t 12W Phone(618)Cronnalo Wm 745-"77(I!no s�+svhr) CpnaRpry T46-"76 AUTHORi7A110N TO CREMATE The und*rs gMW:vqusafs and authortM*Pine V1aw CWr0W0rum,In SWOrd"o WWI"a tlMd 10 iW Rules and ROWWO"W W n WX MS MMU01 d Of: Pearl DoSsntis Female y ( ) C bik lkia 8 s rk (CITY) ( TATE) -(ZP CODE) who dNq an hp_6sh.� day Of bt>"i_ a i't>stiomr. tWalth PdailitE, !a�-WM,_%MEnxhaa3 Pow jQFk 12804 (AWR ` ) NWM am addreu Of rmmtm RVN WSW*or name of parson Muttwkin9 orenwWw: Toe R. W ner, sr, 3 North woodland Ave E"c Brunewiak New Jersey 08816 daO�aE f7vphaw Nam*of FurWot Morns Alexander-Ukar zrungral yimm Wirrat>.bur8, NY 12,885 IIMPORTAta17' I►rprawnt OW to the base Of my knowkid",OW dacaaiWInK on no pwmkar in f1100R her body. (CIRCLE ONE)' I-PUy that 1?Wn the$up puww arse Vauxo*agn so wave*won cnwn mbon dfr*w omlw*a and b dkeot to dWpant on 00o wonomd mink s.ow any peel poesy alwm belt eo w:baan rwnaead ar may+ba dW&*v4 d,and spar fo pn"IF ddrnd and aav*hwwdl pbw VMAA► C Wwb*j'n trim WV and 9A CI*m and 1 101 We br kxm or dmm carom n"tla mob tty►Ir■a0n df Oro011naCtrd Mlrll 1ha prrr11Mf0n of> d r9nrsh Am C**c K why Or NO not Wt"Y WUWAftft MW or ball u*t Daniel J. vravel 38 i Ft W 12885 .—Moll u ) Bland an this daMr. D TO 3!DVd 83WHVU Z9T681bZ£L £T:OZ b00Z/90/00