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Collins, Alice PINE VIEWQUEE9�( `S B l�l CEMETERY AND CREMATORIUM QUAXZR ROAD, QUEENSBURY NEW YORK 17804 (518) 745.4476 (518) 745'•44477 Fame Funeral Director rfs 3 ' 14 Case# Of Cremati.on � - e Cremation Started ' .• Te Cremation Completed 1 p G ' rPe of Container (^ � �.sl�-f rGE l s i �� F Remarks A� V i�� �/b M4Vt fg t G I 11 pli 4- 9-07; 2:21PM;LIGHTNER PROPERTY OR ;4152072905 # 1/ 1 APR-10-200T 04:0P AM Pall Town Cf Queenobury Me View CcxMcry and Crem®tor:um 21 Ousltor Road,Queansbury,New York,12M Cemewy►OMloe;(519)745-A76,Crematorium:(519)745.4177 Authvrizedw to Cremate The w4ft wad rarws wd wAux m Mw view QamWaNnt,In secadww wM■nd wt1aR 16 es Awn W4 Reprrlafto to awmw the mmaft& � } A17 .e4 V7- 0-Slo 1 sweet} :04 curl (seat�f (gip Code) wro dw CA IN V a►r' (Pleoe) Vie Nana en4 address d rsrarsdt Own n*Wwo ar Of peron auUlorlxlnp wwwton: (N&M) (l4tidrwss} RafaUonoip to dN deoetteeo/� 1°-"� k Nara or Funeral ppraRsTef,t�iMI 10 ft bolt of my**wedp,ma deaoeoed(hew)a�rw nv)pectwow.aoAbd4w or any cow bo"aD+�� o w+oo in nla or Iw bo*. ("C A) t mgfV Nat I have full pgW and taW o totlan to wimps for ft aetmdw or tee Mrfi OM and to d*O to eupoafttort of the camerae noWd a tact any pot sm of poeees*m hew*kfw been rerrrvveA or nby be ftwoW,end apse w praact,"aid end care Aernrtom Pine View Ckmnmtalum ftm&w sea oN ddm trod demenas for imm or demeoes witidt may tw mach--I ttrem ay ramt of or=wA60M wM ft or mom of sell mm im m OtwW,lrhe rw oxe cWF*of detrldrds are or am nor wady 9PLAVIZ7 X anC AReladra or LOW Paptaerxs:we srw on tnla no 04100 •K P Dbp elm or Q"wtod Rana s I hmby dWW Pine View CrerAmo w to dhpM of the txamated MMOI rs n foHOM MON to Other arnwti0wnw".PWM spedhr. n pulvaraatidl of crarrwtaQ renrsir:e is mgt; red,dwM mars ReybAw;JenuarY 1.20w a'I+(.}.,,.w!"w.."�.�.n,�u ..�^,ti:. w`S.�t.�b•i^i ii .. ... ..,