Yancich, Milan rrn
OF
QUEENs5BUP
PWE VIEW CEMETERY
AND CREMATORIUM ,y
QUAKER ROAD,
QUEENSBURY, NEW PORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director
Name
.��ly., h �cl,
Case# —34�
Date of Cremation
AV ° 2� 7
Time Cremation Started
Time Cremation Completed
Type of Container Circ
Remarks
CA 5
VF
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Rw View Csff* fy and CnefnaWa m
21 Quaker Road,Queensbury,New Yodf, 12804
Cemelary Oboe:(518)7454476,CremasDrium(518)745.4477
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e PuWwlzmdm d cror-d- rornains is requesUd,check hero Y _
Policies. Rubs and Regulations
1. Pine View Creruaodum is located on the grounds of Pine View Cemetery.The
crematorium operates Monday through Fdday from 7:00am to-- fry� 3:30pm. Prior teb fine,
s.vw..r........ __ ....
am
2. A ''Authorization for CFWn8W SOW by the neeest next of Mn is necessary stating
that they do have the power and audw tty m arrange for the cremation of the remains
and to direct the disposition of the crammed remakK#0 anp peeonat nneeaeoirn..
Y!S!Yl'Jd i i�fiiC3'�f; 4m alm I)e do*—.yad W.{I -Ge W IO19C4 debw end sm.
harmless Pine View Cemetery and Cnemsatorlum*Om any and all dims and demands
for loss of damages which may be made against them by reason Of ar Connected with
the cremation of said Maine ar dlor disposition of said remains as dkected,whether
such Claims are,or are not wholly grour d bes,,tole or{rem,This0uthoriT in
addition to a regular burial permit must accompany the mmai
I All VOmelas must be in a cesicat or suitable Obnvft cow.Caskets,and contekws
must be of a combustible real.No styroken or plastic cDnU* rS-wla be accepted.
4. Cardiac pacemakers.defibrillators or other battery operated devices must be removed
before any remains will be accepted.
5. Cremations be conglated witilkr three woricbg days(72 hours)cf neoeipt of the
Burial TransmitP�ermk� �A �ID 7he aenrmed remains VAN
be molled vie Registered u.S.Moll wfihin three days of a'emetlon�the funeral home
for t
handling the service unless other='r4x marts are madr.ThOmwill bm_e$30.00 charge
his service. . .
6. Cremation.Adrrdn*atbn Costs and Recording Fels
Adel; 88 3O 6d
Children (age 13 months to 12 years) $175.00
l (aWIan to 12 mordhs) $125.00
Ov"me,GI Ww flN�.�g.!..%
day SelurQematione •- s �ra�ss�s
$450.00