Bapp, Sharon TO O—T n n ' �p �7 f
P CN E ti'1 E W `�..C,1 /� l.l.-` �J
CEMETERY AND CREMATORIUM
QUnK�R ROAD, Q( EEN35V-RY, NHW YORK 17804
(S18) 745.4.476 (518) 745•.4477
Funeral 5 Director �Lt v„
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Cased
=a '. e of Cremation J Z
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'e Cremation Sta7ted
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^� CYemation Completed (() 0 �' �
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Town of Queensbury
Pine View CemeWy and Cremakittum
21 Quaker Road,Queensbury, New York, 12804
Cemetery Office: (518)745-4476, Crematorium: (518)745- 477
Auttwriration to Cremate
The undwWwied requests and arrlf"tims Pk*View Cmmmadurn,in aaoordenoe vrlth end subject to Its Rules and Regulations to
cremate the remains of:
Sharon Ann (Rathbun) Bapp F
(Neme) (shot}
25 Orsola Ave Fort Edward NY 12828-
(shim) (City) (Sh") (Zip Code)
edon 19th day July �07
�od
at Glens Falls Hospital Glens Falls NY
(ftce) (Addrese) -
Neme and address of 'So me Iivinp raet O or name of person audXwt np CMMMUon:
Teri Viggiano 29 Rhode Island Ave
(Name) (Addrew)
ReWonsWtod* dSister
Norm dFunendth , Carleton Funeral Home, Inc.
IMPORTANT: �----�
I represent that to the best of my k uwkxV%the deceased *ftdMW,bettoY,bWaq Pam,Purer•
oW,radioecth*implant or nKrmect ve devbe In his or her body.(Chile One)
I ow*out I theve U power and authort radon to anange for the aemadon or the rani*and to dkW the dieposkkm of Bro
aematad rernakse,that arty penwof possessions have eWa been removed or may be desk yed,and agree to protect,defend and
save hennleaa Pine View C eith kw lust from arty and el claims and demands for ION a darthapss whidt maybe made egW*t dram
by reason of or oonneclad with to carnation of add tanieihe n dkaked.whether such dah, ar dertiands are or are trot wholy
yroursdlesa,fete 74ulent
68 Main Street, Hudson Falls, NY
-)—/ (Addrs
y� G �•�v 29 Rhode Island Ave
CV and of Relative or Lepai Me)
Signed on this date:
Disposition of Crerrrated Remekhe
I hereby dnxA Pine Vkw Cremelorium to dhspoae of Bee aemx tad remains ea fcNows
Mau to
Other arrangemerhes-Ptesee spedfy:
If lxdveraetion of cremated remains is regtjesled,d+edc here XX
RmrWw.Apra 18,2007