Mack, Sarah r,I�iu1111 r I 'I'yh Ii y, 1 11 � I _:._.._,�.l .,111 111:III, HI -_'� IIIIIIIIIIIIIIC. . , 'a11�MIII1111111111: ''
M
I Qtiz, Ji'ttfiraIr of Qlrrmatinn -0-
- Troy, New York, ..,
er:.: .
October 2, 19 61
The undersigned, being- on this date the Superintendent in charge of the
ea (.arinrr 'Earl Bpinnrial CJ1l�app1 ttnil CIrrmatnrinm 6.1
hereby certifies that the remains of SA RAH D. MACK
stj were Cremated on the 29th day of September 19 61 111
-1 That the burial permit, pre-requisite to the Cremation of the Remains,
i accompanied the same, and that it shows September 27, 19(1 as the ill
date of death; barbituate overdose, probable as the cause;
LeiMEMBER and 3 6 as the age. T
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r CeV:5 4 Ear1 411rnturial (>2 a rl tub Qirrntafnria t
`, fix/ OPERATED BY
`( TROY CEMETERY ASSOCIATION
i/ �/L1.✓ «OAR:WOOD"
531.5
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W.
CREMATION \'° 'r , Iiperintendent
ASSOCIATION Of AMEPIG THIS BURIAL CERTIFICATE SHOULD ACCOMPANY THESE REMAINS TO THEIR DESTINATION
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