Sweeney, Carl Pllr'E VIEW
CEMETERY AND CREMATORIUM
QUASCPA ROAD, QVEFNSHURY, NEW YORK 128D4
(518) 745.4-476 (518) 745'.4.477
Funeral Director_ M (
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^ e Cremation Started
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Te Ctemation Completed �h
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Remarks
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Town of Ouettnbury
Pine View Cemelwy and Cramsom ium
21 Qualm Road,wry,Now Yot1c, 12804
Ce nMwy Office:(518)745-4476,Cmnakidum:(518)74&"77
Aimee to Cremate
Tile tetdal�Ied eaglteeie Slid allMtolfaea Pbie VNw Qaleiablbrh,b1 Sa00ldellae wNh and etA�eet b Rs Rtllss alld RApolllOns b
donate the lv skeet
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81 HURLEY AVE. , LAKE PLACID, NY 12946
(ivoo t ri (tee) Env coft)
whCdbldon 17th day of JUNE 2Q.
at 81 HURLEY -AVE LAKE PLACID, NY
(Ph") QIdlb+ew)
0480*8w offles" lIftlaiwaornamearparson auelorb"Worm am
MRS. PATRICIA DABY 187 McKINLEY ST.LAKE PLACID, NY
(gym) (Addlaes) .
Rgo. onthipbthedeooaeed DAUGHTER
r�telne of FlsWW tinmA M B CLARK, I N C
ii �
1 laplaselt that to the beet of my blowlodge the deoeeesd(hm)ar @m no)p dam, MNbOslarcr any other battery operated
devbe in hbr or her body. (Ckb One)
i cw fp VO 1 hate lull powarand audwltrAlien b anww for#w aanl I MM of ow lerttsbrs and%dlad the dlepdion of the
aamaeedialneibrs,thetaly heer�sibrrbeeawnnwderenMybeFdeeln9slall.alll# neebplolsct,dslfend and
smBl19llrllElllsPtnel�leA�r
by a l n OTCraorseceedwit!tleceaette■olitNUMI aid id.VAMW ilia cr,-1 aascrawnorwhW
groleraaeee;Hasa or nauorllsrw
R. CLARK 2310, SARANAC AVE. , LAKE PLACID, NY
187 McKINLEY ST. , LAKE PALCID, NY
Siprred on ds doW J UN E 18 ,
obooeaion of Cromobd Panrsine
t hereby dad Pk*Vow C m kWwn b dbploss of the ctaneow-m obw as Oc k s:
Md10 M. B. CLARK, INC.
2310 SARANAC AVENUE, LAKE PLACID, NY 12946
oererarrarrper wft-Preeceapedly:
U puWwIn w of ItrarrlMed tanlnbss bs mqueeled,dreck hswx XX
4
Policies, Rules and Rep ons
1. Pine View Cremvorium is located on the grounds of Pine View Cemetery.The
Mmetor lum operates Monday Friday from 7:00em to 3:30pm. Prior telephne
arraraernmft ffw tom s.,.,4.,�........ �__......
nOWSMry for&ftvdaya&W&M
2. A gAuthorizadon fnr Cremation`Sad by the neerest need of Nn is neoessery staling
thet they do have and to the the Power and authority to wrongs far the cremation of the remains
►,gam direct
r t �of this gated .that any=Wrw r �
harmless Pk*View Cemetery and Crematorium from d and save.
and demands
for loss of dmnages which Tray be made them by r Of Or Connected with
the Oration of said Mmainsand/or dispoeift of said fernalris as erected,wtrether
such addition tmaaM or ar rme not wholly Woundless.false or fi►a ,This arm
regular burial permit Must a000mpanv the ranmk+c in
3. Ali remaft mug be in a casow or Suitable a comer and oort�
combustiblekxn
be of a cMaterial- No styrofoam Or Plastic�.�be accepted.
4. Cardiac pacemakers.defibrillators or other battery operated devices must be removed
before any remains will be accepted.
5. Cmmaf u will be oonPleted within three wwkkV days(72 hours)of
Burial Tmnm*Pemdt WW Autha ion to CF10nvft Form.The rGCOO of the
be awaited v�Regiefered U.s S.MON win three days of qp to�Ulneral home
rerivans wig
r� the servbe unisss ame�Q ments are made There will be a$W.00• .charge
for this er+rioe, other
6. Cremation.Administration Costs and Record Fees:
Adult $325.00
Infants (ROM to 12 m 1Children (ap 13 months to � �175.00
Over*IO CnNrWtkWW l WO.1"u. .l 16 A r-A maw
Saiurq'ay 4r"96ng $450.00