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Reiff, Barbara TOrNN OF QU EE B PINE VIEW CEMETERY AND CREMATORIUM U-0�y QUAKER ROAD, QL SgURY. NEW YORK i28o4 (518) 745-4476 (518) 745--4477 (� /'Fnuneral Director_ /� ��,th�c�C ! Name C�jgr c,r�7 f�2ltY Case# Date Of Cremation 007 Time Cremation Started $s3� Time Cremation Completed 10.• 3u AM Type of Container Cre-*,g4,o, { � 1ST CAS Remarks qq ina� � o .y'vAtl r Toms of Quemabufy Pim View Cemetery and Cnefnattoritfft 21 Qualm Road,Query,New YbM 12804 Cemetery Offx=(518)7454476.Cf+ matorixw(518)745.4477 to Cremate The tmdetsigtted requests and aett tms tote AwOmwiffiMim M8ccmdwmvft wW stgoato its Rubs and Regulations to cremawftremaknot Barbara Reiff Female (Nam) (sex) 834 Truesdale Hill Rd. , Lake George, NY 12845 (SUSO) (CRY) (State) (ZIP code) who died on 2 9 t h dW d 0c t. 2tf 0 7 at Glens Falls Hospital (Place) (ems) Name and address of nearest Cvfig rebdve or name of person authmtmv«ematb : Susan Wertans , 25 Cobble Hill Dr. , Gansevoort, NY 12831 (NMM) (AdM M) ReimtlonaW to the deceased Daughter Na"cfFtmwatH=e_ Alexander-Baker_ FH, Warrensburg, NY IMPORTANT: I Mpvwt twt to the best of rrry ivtowledgq,Bte dmand OW&Om no)PWWWW.dommaw.Way,battery Pa&.pmw oefl,n fioscWs f nOwt(r mdioactiae dw4w In fib ar her body-(CWW One) I ceftlfy that i haw M ptewer _ � forthe ate�an d the reateins amt W dlfect the dispr>ssion of the cmmatedre<na> ,,5 �► PAD ssees3orttt:hereesterbem er•mytredMaje .wdeWwtoprriarLdefendand save tterrrdeP f'fne vhw *=stw=W sI ddmsand I far Ions er wttich osy be made there by or connected itte won of said feMa!m a s di whether axh ci l l ar de rmWs are or are iwt whoW false or NY (wdrwv=s) (Address) Same as -above (,-Ay a m and Ad Repvw"n) signed on thts date: 10-3 0-0 7 umposition of cremated Rem I hemby dffW Pkw View C rerrreWd mr to disposeof the csemred ranges as tolbws: Mad to ovw arrangwnerss_Please spectttr_ F H will pick up if pulve W#Ion of cremated remww=squealed,attack two x Rer Ww.ADM 1$.2007 Policies, Rules and Regulations 1. Pine View Crematorium is located on the grounds of Pie View Cemetery. The crematorium operates Morey ftwough Friday from 7:t)Own to 3:30pm. Prior telephone arrangements for the awe of ren *w are necessary.Pnearrangements are necessary for overtime or Saturday creme 2. A "AutdtorilmUM to Creme f xTn sad by the nearest mead of kin is necessary stating that they do have the power and any to arrange for the cremation of the remains and to direct the disposition of the cremated remains,that any personal possessions have either been removed or may ba destroyed and agree to pwatwj,defend and save harrows Pine View cemetwy end Crerreatarlrrrrt*am arry and al claim and demands far loss of damages which nmy- be made a 66M by ieoson of or conned d vvilft the cremation of said remetra andfor Ospoefflort of directed,ytmgw such claims are,or are root YAW#y groundims,lobe or ftudt;eM This au 11wization in addition to a regular truce pem*must accompany ttte . 3. All remains must be in a casket or suibible abarreft comes►.Caskets and eorrtainers must be Of a owe midedul.to styrokm or vi IF iji,.,OMftjWSVM be acoeptsd. 4. Any cardiac P ,d ry,battery.gay tom,poww cell, radioactive kreptatet or racii ine.cfevice aemm be removed*om the body before any remains will be wed. 5. Crenwfiens went be completed w *me vmrk"days,(72 hows)of recap of the EkKW Transmd Part tit and KNII 11 1 io CM=ft t~txrrn.The crem tied rerr+aim will be MaIWd via RegIMM U.S.Mai WOW ft88 ftS of ire ID#0 home handling the smvlcBt G"w 8ffeqgmMft am n1ade.TIM9 wldl be a$30.00 charge for this service. 6. Ctpr1'1MM,AdMInIsUMon C'OM aim Fedw. Adult $3W.W C►hitctM (age 13 n *m ID 12 yeas) $18MOO lnfeft (Wlborn to 12 rr ) Overtime Cremations(ftekdays) $480.00 Saturday Crenmdons .0© i