Hall, Dennis TMIN OF QUEEN,5BU-r�y
PINE viEw CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENS$URy, NEW YORK 12804
(518) 745-4476 (518) 745-4477
I Funeral Director
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Case
Date Of Cremation ( eCeror
7
Time Cremation Started
Time Cremation Completed
Type of Container 60fi L43� f ACC C
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Remarks
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DENNIS S. HALL MALE
34 nnCwnnR WAY LAKE PTACTD NY 1 946
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tbMeofFsmialIf, M. R._CLARK, INC.
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AVELAC D, NY 12946
ST. REGIS FALL, NY 12980
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ggudmg*dit DECEMBER 4, 2007
Obpoeeton of C MMled PAMM6 s
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Malfo M. B. CLARK, INC. FUNF.RAT, NnMF
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Poi CIM Rt*w and Repukrtiom
t. ne Vi ew CMMS M is lots ted on the grounds p View Y ,�,�
aPierr orium"was"Morrdsyftutqh Frk y than 7-000M to 320pra,pdor
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hecessary fur'satNbycrsfrrdplrg,
2. A "AuuMIMU n for q •Bed by the nearest nodcf idn is
amid V ort Of dw pow�tl�a�� ior00cmms0or
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such romeiir>S srrcpor�ofsaidrarrreirr:ss oceclsd with
addtDfat to a reps ar !►INoundieee ortrsrr 7 ionrb
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P must s000np ow the nwnnkt
3. Al r mud be in a cae W or sr
must be of o�m %ft.No��WI be
4. Car+disC
peuwnWWM dmWftkn or other bsawybed dsvioes must be removed
be*n WW ramelns wM-be acoecte,d.
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p+errtrk� a Moeipt Qf the
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bs rrtsd 0 RepMerw U.&Meg wlddrr ftft�� tam
rrs the servie�e W*wa omw ars made ThwwYA bs a$0,0Q
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�'tids service.
6. � ,Ad► k pOM ands Few
n (ape 13 nxxo s to 12 yearly $ �p)0
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((stia,,bOrn to 12 ) $125.00
Overd i opo"OOM� mow.n
plraiMewl $ ww