Baker, Wendy r""nrMN OF QUEEN5BUT�
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY NEW YORK 12804
(518) 745.4476 (518) 745-4477
dame
Funeral Direct or
WP�[(� Case# 17
Dace Of Cremation og
Time Cremation Started
'2V A
Time Cremation Completed 10 - so An
Type of Container
Remarks
0 ov
I 130
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i
i
4 # I�
Town of Queensbury
Pine View Cemetery and Crema kidum
21 Quaker Road,Queensbury, New York, 12844
Cemetery Office: (518)745-4476, Crematorium: (518)745-4477
Authorization to Cremate
The undersigned rearrests and autiwrbss Pkte View Qematarlum,in aaoord mwwith artn subjed to ks Rules and Regulations to
cremate the remains af:
Wendy Marie (Barber) Baker F
(Name) (Sex)
1.679 West R,VQ(Rd Moreau NY
(Street) (CRY) {State) (Zip Code)
YAw died on deyd 01/05/2008 20_
at Residence Moreau NY
(Plam) (Addraw)
Name and address d on no Iivkrg rehom or name of parm audt wt&v cremation:
Mr. Keith Baker 1679 West River Road Ao"A F�1�<</d
(Name) (Address)
RetatioMM to the detassed Husband
Narne d Funeral thm. Carleton Funeral Home, Inc.
IMPORTANT:
I represent that to the bast of ary irrwwkKVo,ate deoeaaad(has) pacemaker,deftdielar,battery,battery Pam,pa*w
oeN,radioscolve knplstt or nKft=Uw device M his or her body.(Ckde t
I txr*tftat I belle full power end etewrknuon to arrange for the ae nsikin of the reavolns and to daea the dispoei<lan of the
crann"d rwndrw,that any personal poseeeskm have ektter been ran oved or may be desl royal,and agree to protect defend and
aeve Itartnroeo pk*View C arftet0rltrrrt from any era oN claims and darrmfKW for bee or dsrnages whkfi maybe mods mgm! q t dram
by reason d or caxtecied wkh do carnation of add twink ra as drected.whether arch dams ar fl e I rtds are or arw not wholly
fahm or fraudulent.
68 Main Street, Hudson Falls, NY
� �
(
1679 West K'vew cl
and Andress d ReWn or t eW Repraaer>tat TO
SIW*d an this date:
Dlaposkion of Cremated Remalrte
1 hereby dhed Pkte Vlew Crenolw1um to dhpose of the cremated remekts as foNovrs:.
Mal to
Other arrwvwnwft-Please aP�N
If ptrlveraatian of aer WAd remains is v eaureaxl,cheat two XX
itevWkwr April 18,2W