Loading...
Payton, Helen 20 gtiN OF QUEE9� 50 UPJ/'- PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4-476 (518) 745.4-477 Funeral Director_ / ) `_ e1.2, 1.1 � v�� N Casea J� Z late Of Cremation zUo y' T Cremation Started �1 Cremation Completed "•.•p e of Container �, �� I._ LC6�� ;e-�arks G 1A.`�-•� �,�r�e� rl 3 S Y�J►�, ��I � � | � | K � U ' TOWN OF- 0UEFN",,BUPY PINE" VIEW CEMETE. - 745-44-77 (if tjo answer �3(-,cordance with and stibject he Undersigned reauests and -a Litho r�ZEIS Pl�np, View Ciernatom Female iHelen M. Payton . ii(NAME) 1146 Aver. Le Road, Lake P1ai_cd.t_,NY 12946 who died on — ' (PL8CE) / Name landaddress uf nearest living ne\mMveornmrne od person auVnonzingcre%mmUom Rd)afi nsk\pbodecetised �g�`__ / d, NY Nmnndo{ FUAenm| Home Ko� nxekerinh\so[ h�� / 'm/preprilsent �d1o1hebmstofnyknmw|mdge. dledeceas�dh��o/h���� p�ce / body,' (CIRCLE ONE) h Mh hU [nVd �uUnonz�Uon �oannnQefo, ih� cr8n1ah0nCf the renlainyand rqrno'.ved of qlay I)e desttoyed, and ,@gree t() protect, defend arid �jave harmless Pine View against thern by reason of or ronnected with ' have,either been NY 12946 on thic- 146 Averyville Rd. , Lake Placid, � �U � o .