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Broman, Virginia t ''- TOWN OF QUEENSBURY Pine View Cemetery and Crematorium 21 Quaker Road, Queenshitry, NY. 12804.5902 (518) 745.4476 (518) 745.4477 http://w%v\v.queensbury.net Funeral Director: I 6-� l`;( "T,�-N N Name of Deceased: 6- 1, r� i 1-r �3 f Case Number: ) I Date of Cremation: Retort: Time Cremation Started: Time Cremation Completed: t Type of Container: � � 1✓�% /�'1.1q-:i`� ti(, Remarks: 1 �14 5 i� /Vl'l✓��" 1 S� j'�-�-1 q FQ E 5- �.. ti " Home of NntitraI Ben itty ... A Good PInce to Live " Mar 05 06 01 :41p L._�jnne Christensen 718-624-2043 p. 2 _Y oe u��tuelb 1l:dd ., 518-793-3641 SINGLET(AVSULLIVAN F'.^,rE 82 I Town of Queonrobury View Corltetety and Crawrl umiurn 21 Road,Gueef e",New Yor11, QW4 conwwy :(S18)745.4476,Crelrl>>ftftfn:(518)745-4477 Au d%oltrAfon 10 Cremate 7!ta"aralpnad raguaiM Mnd WOWMAWN Vbw CrrnratwK+rn.In aucCrderraa wMh and wbjw to W Rules and Rapulatl"ra M1a raarat�r rMjLr7 r*0 dlad on '' ' ` day d Gl 20n.6 Mama and addraaa d wrino rraraa ar oa.a+.uho�rvr +: rtanr ar FarlMal Nafw NPORTAW I loprmoo IN d Wa tMaf d myk dm wad(haa) relrer, w any gMrer la�rry Cpareead deaoa it hb ur her body- (Cft%Cnap I cerWy Mg 1 hero Kill prow wid b aararMa fcu Mro CIlr*IMlan of Mrrr raeflaKwD"w N i Ow dUpoal4'n ut V1a CnlrnaMO le"Wh a,ftl am pdrsard too Wm bear Wood Cr MW ba d§W9YaC4 and-wr to plaMi r daf&W and aaw hannYrs ftw%%w c welwMan and ad Galws 00 denier K%*t lase CO pea'neW wtrd+m y bo eerda apslret Mani by r!lailr►rib ar COMMr17ld lfle d reld nAlelills M dirariild.vdlaeaa frldl CM4rra ar datrMida a1<t ar era nut whdhJ laisa Q1!7:;�/ .A _ ,� .Yr�, NY ( +^a aad Addrala CO: a t�epel Rpp.IMMNeaval �an wsdar: I' D"oWm al Craareied Fbarm" hantry bat PU»View Cnwwkft a to I coon- Am o rerrrYs as iolMorrac Maio 4 plmbelon oraanmm ramoft is rmom Md.rdud*here Rarbilm da u"1,2wo { :4 i