Zuschlag, Anita rOr N OF QUEEN,53U9�
P'NE VIEW CEMETERY AND CREMATORIUM
QUA ER ROAD, QUEENSBURY NEW YORK 128p4
(518) 745-4476 (518) 745�-4477
/n� Funeral Director �El �PF4-
Name /'1n�-1-� 2*c �5
Case#
Dace Of Cremation � _ 2 (� _ 0, �
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Time Cremation Started
Time Cremation Completed SO
Type of Container u►�o�t� IS-T _
Remarks
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Taws O(Queensbwy
Pine View C.enwWy and CremabDdum
21 Quaker Road,Queensibury,New York, 12804
Cewe =ry tom:(518)7A5 4476.CremaWdurn_(518)745-"77
PA KAMOmi W€fie
The aftdefomd W-JAM at @LqWIMS Pb*VV-kw CfflffVAMkM M +and alb m ft Rules arts RegutOorts to
cremate fhe new of
Anita Zuschlag Female
(Nam) (5M)
_ 11 Hudson St. Warrensburg New York 12885
(sue) (CKY) (Suft) (p Code)
„hodWo, 19th d,& January 2o08
at Eden Park Nursing Home
(Place) (Aditw)
Name and address of nearest OmV nerve or name of person ar$f>wwng cn m dm,
Heidi Morehouse 148 Library Ave , Warrensburg
( ) ( )
Rewitionamptotf,edeceased Granddaughter
FNaar*atFwerdfi-iame Alexander-Baker Funeral Home
i reprem Vvd fo the best of ray .the deceased 060 or tm nO pecanaker.defter.may.ba#wy pec,Power
cell,nK§wojm or rid loecdve device h igs or her body.(Carlo 01w)
l ce,eity tr`raf i rove JE .'f and i q=w[ b i to aqwva fx tie Cregulkln of tT*M��and?n 6 Trl ttet_(IST-nSalon Of tt,p
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wd Ad of In or Legal Rep[ese ib")
Siarredont�aa January 20, 2008
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Policies, Rules mW RegukWons
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