Bayer, Albert T07+N OF QUEEN,5BU-r�y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
(
Name-
II�__ Funeral Director�Xr - �It 4nllpy/
t � cr
Case# _ TZ
Date Of Cremation 1U 110
Time Cremation Started ' 2s" Am
Time Cremation Complet�d
Type of Container . ,, LG6171j ND C
Remarks
zr/ 31 Atl
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523
Town of Queendwy
Phie View Gamy aid C+enuft riunt
21 Quaker Road.wry,New YOM 12804
Gar 00=(518)745.4476,Cm-m etv!kw(518)745-4477
Augxxteagon ID CrMte
me Unftstrted Wd>3rIlNhoft n ptm vfew CpmM#tm fn aocenlm+ce vd&9nd to ft! end R ,O
awraa ft remeft at
Albert E. Bayer Male
(Name) (SM)
224 Queensbury Ave. , Queensbury, NY 12804
( ) (CRY) (State} (Zip Code)
who died on 3 r d day al Dec 2D 0 7
at His home (same as above) _
(Plow) (Address)
Name acid address of newest&&v rek&9 or name of penon wAhwIzUV :
Susan J. Bayer (same as above)
--. (Nam)
OddMs)
Rewdormptoth&deceewd Spouse
NaffOOM e"dHo ,e Alexander-Baker FH, Warrensburg , NY
IMPORTANT:
i represent t#W to the bast of my lvro e,the dBOeesed 0"6t ftm no)papwtta w.door.DOmy,betWy peck.power
oaii,nxooaotfve knWa t or radwec"drA*in tt#s a her body_(P r+ie One)
1 teffly ttiat#trance fd power and ffiasratrge tiorftre effort 0190 ram A I!and b deed the c ftoskion of the
cxetrwted rentairts,that a[�t potion IMM 11tref Oeaft t>r ata�bade o9#ed.and Ie,proI O C defend and
save herr*w PbW s,%W from ww end ad dams aM d 11 for bw or dates ttl"mW be nred@ egttst them
by reestm of, d ltte aematton of said�as mod.wt such ckaffns or demands are or area not whogy
groundl.e&-,false or
- � � Warrensburg, NY
(Addrees)
X Same as. above
( !Address of Refetive or LegM Rom)
Signed on this date: 12-4-0 7
t ion of Cremated Reerreirm
I Webr diced P#ne View CMWMWrWm to dispose of We cmsi*sd wmaks as"mm:
Mad to
OdwaffmVemem-P FH will pick up
If ptdwwiort of awnated remm s is wgnsted,OmKk NM_X _
Ri on:A d 18,2007
Policies, Rules and Regulations
1. Pine View Crematorium is located on the grounds of Pine View Cemetery.The
crematorium operates Monday t wough Friday from 7:00am to 3:30pm. Prior telephone
arrangements f r the accepWnroe of renw*w are necessary.Pteanargernents are
necessary for overbore or Sway cremations-
2- A 'AuthorimWm to Cremate!form signed by the rearrest next of kin is necessary stating
OW they do have the power and aulfwrity to arrange for the cremation of the remains
and to direct file disposition of the cremated rams,do any Personal possessions
have either been removed or may be destroyed and agree to proteM dekod and save
harmless Piro View Cemetery and Cam*om srry and all claims and demands
for toss of darnages which may be made agalinst Ifian by rehson of or connected wkh
the cremation of said re of ss4 remairm as dkocted,v4mdw
such Bairns are,or are not way grourxReM fabe or�,nL This whorixation in
addition to a regular burial permit must accompany Ole FeMaInS.
3. Ail remains must be in a casket or sew akernift cwmahw.Caskets and axm**rs
must be of a Gumbu3tible cry.too styrolIbatrr er ors vM be accepted.
4. Any=dlec pacemakers,d tom,battery.wry padr.power cen, rad'ioaclive
implant or radioactive device a*t be refflOvIed*om the body before any remains will be
5- Gremadons will be aWeted wMvn time wofte dgp(72 hours)of rec eiM of the
Burial Transmit Permlt and Authowiza*st tQ Csernffie fin.The cremated remains will
be mailed via Re&WW U.&M88 t+�lhi'tt ftw days of evinom 10Ow knM ai home
handling the ser Ace un �,e am ram.There wIN be a$30.W dew
for this service.
6. Uwatlon,AdmMistradw COSS SM RecortIng Ftm:
Adult $330.W
U01011en (age 13 rnonths to 12 years) $18MOO
lrfts (SW=to 12 t[ ) $13Q.OD
Overtlme Crernatlons(WMdays)
Saturday Cremations SM.00