Ball, Donna �O`NIN OFQUEE9�5BU2r�y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURy NEW yORK 128a4
(518) 745-4476 (518) 745-4477
Funeral Director_ 'EL-40
Case#. 1)
Date Of Cremation 77
I OVYALr ZfXfl
Time Cremation Started T36 /1
Time Cremation Completed
Type of Container arcwarcx ,mow
I S i C St
Remarks
i
N0'-1-G-20 7 MON 14::il !D:,3F[7LER FUNERAL HOME, LNC. TEL:Si"3c33 �:',' r:00
11i25/20W 13.22 510-792-1207 REGmi&DE%v PACE 03
Twol tat Qvwwwy
P"mWarOOMWOOWommawsm
21 ow*w tom.may.*WY",I zm
CwnV ty Ot&z:(51g)7454476.Cs6mmkmim'(519)7464M 'f
Aw&oonftn GawnWO
The%p ►and wdEvr "M pM VgW&W �� 00 N�tAIO"to
"o4bd an
n
wijaWErd + �++�atew.ee�r.�+ +�
gww**IWDIW mum I ion
Y�vi>Rtn► to I �1*400m w Poowr..aoAbt9ElMor, pp*,OOM
�!rrpwret�i tta�r d m7 ��a Irar 4aal/►,
I +rrwr r.+e pE*rr and+EwCgoitMletu a�ahgm - N raft npw data rwaw►OM 1 d OW Ww b ddO i�O*ns
�arnwtwd�eE;�`st rw� e ttwts rr�iwrn rwnp,+d a�P be�1'�
�"'w�+'���,p �.anw�.E�a►I�aw�i� atin:w�`i��E�Mr
gnainrlw�.tMMlt arlaErlal�t.
ONPO~dcows"dRon*
I lMIaIS71 f1�!111wr'QI�FI���GP Ywf�/NI�Ri�Ndf�GIs#C�:
ma to
ReAmm Age u.2w
I
I
I
I
I