Picha, Margaret �O OF QUEE BUP'y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4-476 (518) 745-4477
{� c•,, 1 n
Name (�a(�sre�� pl C�� Funeral Director
Case#. 4$q
Date Of Cremation � 1
IVOUPn,
Time Cremation Started
gl M
Time Cremation Completed
AM
Type of Container oc,J
Remarks
M . �;ZS" .�
D V.
--------------
Nov 12 07 01 : 01p SSND Provincial Council 507 389 4105 p. 'J
ggLI
Torero d Chase *ury
Pine Yww Ce"M"afM C.RarMSMNWm
21 Owlkw Rood,C h~*bufy.New York,12804
Cenmtafy Ot 1m.(315)743-4476,Crematorium:(518)7454477
AuVKw=L;m to Cfe"N"
The uvows4ned r***M and sietwn=p1m Vim Cmm@Wkw ,ti s+mnAnos vllh and ttubW ro be RW"wtd Reptlatkm to
awnrea the rontMts a,
Max
fsdx
Als In
(sulu) ter) 9s4z") RIP )
V"died on
.� l erg -
tPteca) Ukld�ss)
Na+�an6 adffasa d rsesreee ertd0 nYirha os raetta d Owl a�urtzi^D�'���
tMeM�e� tAAdiaMy
R6laltanatsip tC the �o ►r!v4 `` � �w r �� �S!�e
IMPO-STAW! ,biiea�Y,o+rrswV tw Pam
t(*"*wit ew a 00 bale of my Imm.04".*0 ducomm a#m w Om no)�PeOeel''•
cell.tadloer�iw hnvr.i}or eadtoerllra dw w IAtft or hw bedr.ICMCi*Or*)
t or"Om!nm kM prow mod-AWkIdw b__p for"eraetsdott d WO remWO wd to dMedt 1W fon d ttw
vantarao rwttalrs,tttet erry 9ateenat Ooeeewbrs to WW been r ownd or mar elk dWVwj d,and OW"10 P�e4cL doff and
sew hsnrftsss". View GantM" tars and acid al d0w w d do wdo for low or dwe.pw W*b"to maos'M'kaw them
"t comm a f or�oaad VM etapwrteft'aR aad tetaa4e oe dredad,+eRtettwr Burl►deems a dwnerds are or am not whctRy
Rvttnoteia,tww ar tarandent ;_ �, ���L�.c 1 M,N S��v l
t t�e�1
*-d- tsWaftre wW� a taarew.ar�RapnntAO")
surd or.
DiMossionof Caa im Rwrretr+s
t twrabp daeci t�t,e view Orststrtvttrat ao dtspoea n/ew aeteeteo aataYas as io0vvs:
Me to
Okhw eaettewwft-tstntue svedtr: ———
tt P*Mxb g*m d 04M.Mad rengeu is nMuse d.d-&-hate
Rmumn.Ape 18,2007
pa i9vd NvAI11f15/N01379NI5 7.49E-E6L-819 Z.9:ET. L006/61/TT