Bramer, Joyce TOWN OF Q UEENS B UR Y
Prue View Cemetery nnrl Cremn tort tnt
21 Qunker Ron(1, Queenshury, NY. 12804.5902
(518) 74 5.44 76 (518) 74 5.44 77
http/rW\Vw queensbury net
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Name of Deceased: _ o,��,� g r a ,
Case Number: AV
Date of Cremation: 9 1 - 5
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Time Cremation started: _ � '� A - M .
Time Cremation Completed: (a (O
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TOWN OF QUEENSBURY
PINE VIEW CEMETERY
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:
Joyce Marie (Manley) Bramer Female
(Name) (Sex)
13 Midnight Drive Queensbury, NY 12804-
(Street) (City) (State) (Zip Code)
who died on 7 day of September �..
at Glens Falls Hospital Glens Falls, NY
(Place) (Address)
Name and address of nearest living relative or name of person authorizing cremations:
Mr. Lloyd Bramer 13 Midnight Drive Queensbury, NY
(Name) (Address)
Relationship to the deceased Husband
Name of Funeral Home Carleton Funeral Home, Inc.
IMPORTANT:
I represent that to the best of my knowledge, the deceased has or 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 and 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 not wholly groundless, false or fraudulent.
68 Main Street, Hudson Falls, NY 12839
(Witness) (Address)
( ignature of Relative or Legal Rep. and Address)
Signed on this date: _ & �� �'
TOWN OF QUEENSBURY
CERTIFICATION OF CREMATION
PINE VIEW CEMETERY & CREMATORY
This certifies that the remains of: JOYCE BRAMER
were cremated on 9 , 12 ,2005 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains
of said body.
Date of Death 9 7 ,2005 Age 63
(Month) (Day)
Funeral Home CARLETON Registered No.: 381
t
(Authorized Signature)