McCasland. Eunice PLNE YTE'W CEM ETERY ATYD CREMATORTUM
QUNC�R ROAD, QIJEEN58URY, NEW YORK 12804
(518) 745.4476 (Sl8) 745'.4477
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Town of Queemitmy
Pine View CemelM and Crematorium
21 Quaker Road,Queensbury,New York, 12804
Cemetery Office:(518)745-4476,Crematorium:(518)745-4477
The wxbraWW requests and&*wt ms Pkm View CromeWrksn,in aomdence with and subject to Us Rubs and Regubdorrs to
aerrrate the rerrtakrs dF
EUNICE A. McCASLAND FEMALE
(ire) (SOO
74 STATION ST. , LAKE PLACID. NY 12946
O (W (Stdo) R4 tee)
who died on - 21 st dayof JTTT,Y 200-7,
at ADRK_MED._CEN R. -SARANAC LAKE, NY
(Pboe) Gees)
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WENDELL McCASLAND 74 STATION ST.LAKE PLACID, NY
(Flame) (Address)
Rebtionsirip to the deceased S 0 N
MeawdF=trmrM1#x•x M B -CL_ ARK, INC.
INORTAW*
1 rapeserrt that to the beet of my bombdge.the deceaaeed(has)or(hss no)peowndw,detibrRM a or any odw bM"operated
device in his or her body. (Crde One)
i corny that 1 have tuq power and affimboWn b arrarpe tar the aarrredon of the team**aid to triad the dbpoddon of the
cswAftd o wuh M king crr persal poaeeasiorrs fine at-er bean nemoad or mw be 110 my arditgm to pclectr defend and
ft—
parses:. aorfraudLdwt
r LAKE PLACID, NY
( )
74 STATION ST. , LAKE PLACID, NY
ftWonthisdote: TTTT.Y 23, 2007
Dbposkion of Qwn8led Rwokrs
i hereby triad Pkre View CrenteWrkun to dbpoee of the cremated re"*dw as folom
McNto M. B. CLARK, INC.
231 n SARANAC! AVE. , --LAKE--PLACID, NY I 2.9A-&__-
o9warrangolm -Reesespecify:
N prrirerizetion of awnated ramekrs is requested,dwedc here -NYC
r .$•r..
i
Policies, Rules and Regulations
1. Pine View Crematorium is located on the grounds of Pine View crematorium operates Mo�y h Friday from 7:O0am to 3���i The
arrangamgmts for�� -- - .30pm. prior telephone
a,�
�y for i. crematiors. - - ---- _ - �;.-.s-Z awe
2. A 'Authorization for Cremation-signed by the nearest r>ext of kin is r
that they do have the power and athe necessary
stating
and to direct the disposition of thens. anv personalof the remains
defend for k harmless Pine View,Cemet81y and Cr on m from any and all claims and de save.
damages which may be made against demands
the cremation Of said remains and/or d them by reason of or oonneded with
such claims are,or are not whoa of said remains as directed,v
addition to a regular burial wholly �ny or fraudulent.This authorization in
�riY romains.
3. Ail remains must be in a casket or suitable altemate cortakw.
must be of a combustiblematerial. No Styrofoam or sets and containers
��o will be accepted.
4. Cardiac pacemakers,denbr Mgors or other,battery
before any remains will be accepted_ erY operated
devices
must be removed
5. Cremations will be completed within three working days(72 hours)of receipt of the
Burial Transmit Permit and A,uthor� �,Cremate Farm.The crerwaad be mailed via Registered U,S. Mail within three days of�`err►atlortfuneralremains will
handling the service unless WW aRangeme ft are made.There wlq be oo�e
for this serves. charge
6. C�remat'on.Administration Cats and Recording Fees:
Children (age 13 months to 12 $175.00
Infants (stillborn to 12 months)gym) �175.00
Overtime C $125.00
:rematios+.s!!l:� �s, AW r .
Zi6bui�l/Cremations - �!�.,,_��5L�0.00
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