Loading...
Hagen, Walter .4- O LQu (.E�'�s'B 21 PLNE "'(EW CEMET>✓RY CREMATORIUM ROAD, QVEENSBIIRY (518) 745 4476 NEW YORK 12a04 (S") 745'.4477 Funeral Director �� f 1 P��,n ehn [ti - Case >r 0 Cremation v us a00 Te Cremation St87ted 7 i0 Cremation Completed f s /I� f ;e c ! Container 1S1 C � eT,a , ks v U I ------------------ ---------------- I I I I y- V 1 V T ll 4 V a,.1 C7 • J 0713&2007 11:47 518-792-12137 PEGANOENNY 4134E PAGE_ 01 Town of Oveensbury Plrta View Cemetery end Crematorium 21 DWkW ROW,Queenebury.Now Yak, 12804 CemetM 011kx:(518)746-4476,Crematorium.(518)745-4477 Authorizatton to Creivive Th*ur'deretOrsed feq>#Mft end etaho WO PkM VWW t"eMnsroritan,4e Mmortlence W16 and ffidi ees to Its Rules and Ftoguwwo Io ®awets 00(4M*Ir%ot. (Nam) {Sheet} (CM) (Statf) (Zip ) who died on �L_ � tvy of M (Pleoe) (ma) --- ---------- rtel►n!Irnd tt+ddrers of nswteet Itvinp re4ebve sor tttrrrre a p�rlwn�out+�affinp aernetkxr (Ntrfne) r— Retetlona*to the Name d Funeral+mate iMPORTAM': � I'et MWO WI b Ots OW of my WcorlaQW.Vie tlNMW(lot) trfe6 no) *r,(104W MP•beery,ball"pm*.power CAN,t7 dlcsd'm imPW or►f0l &cdve drAce'In his ar her bOdp.(C I t-rilly•Graf t have U Per er4mAh►rallm-to amiripb tor the ciemtufon of the m1p9in,titd to dlrW ttar dbpoettim of V* ctameted remains,the tutp Pa i a Paaewt ostie br4 Am been rrprwwed or may to dtrstroped,end agree to Prttlect,dtt"Wv as ryfmian PY►e View Cremowmf"*M rrYy MMt 94 Ge, a and demands for Wn or deadpan virw f's w to mum wpm them by mom of a conneusdwNh the tstnrttdlpitel geld tr ffteYts es(11111 t!wbWw Rich cWw or demands we or we nor whoop poadka,false or v � (f40CiR43�} t&ofsanns—VAUAAJMW Lop rid tattle)- Signed on this dole. nfepoeRion of Cremated fiemviro I tWVOY dhd Pine Yle"CMM*Iosltun to dlspoas of it►aamMsd remains as fulw*A: MOW 19 OVier ernmpmem Please spook, T�If Pui rprt atlon of cvernated retr left Is rsgtwebrttl d4oc}taro Rertsim:April td,20V Yahoo! Mail -regananddenny(o)yahoo.com Page 1 of 1 t M A,I L Print-Close Window From: "David Hagen" <David Hagen @frontiernet.net> To: regananddenny@yahoo.com Subject: Walter Hagen Date: Mon, 30 Jul 2007 13:25:39 -0400 Attn: Mark I am a brother of Walter Hagen. This is to confirm and approve Walter's wish to be cremated. David A. Hagen 1281 Holley Road Webster, NY 14580 L----101-----T 1Anrn117 1nncn 17/11)ninnn1