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Norris, Elmer
OF QUEENs5BU�Ky PINE VIEW CEMETERY AN D CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 128N (518) 745-4476 (518) 745'-4477 \ame Funeral Director sin 1t ►� ��,� � - Ucf's C a s e# Date Of Cremation q^ � Zap C9 Time Cremation Started 10 :SG /.} Time Cremation Completed IZ%kv Type of Container Remarks N 1: 66 (Cc z r� Jan 04 03 01 07p Bottor ri Line Compenies v.i'vrr avzru 4v.err :al er—r��-�c+i� SIPXjLETONlSLU-!VAN PAGE 03 Town ew ouowtsbwy F4na Yisw C.e MtWY and Cramahorrklfm 21 ©uatlar Pined,d uftnsbury.Now Yak, 12004 Ce"wlery ORCS:(519)745.4479,Crernetrlr UM. (518)745.4477 AU#Wo"don to Ctumoo Tro unowvWW re"m erd SAwt um pkw Vsew Cmrmftg%R,h a1Mo►de nm w11h eK+d eu sct ea ea Ruwts enrt ftepuissiorrs ivc aam"the ramrtro& My (smoil (ZIP C(Xb) �,,1 a .#f4��ftia! h�tuT„rIn � = (PMraoa) Cam► __._.�.__ Nerr„e rnd eddmu of,eras 6*V Few"or nwr+r ar Perron awhorr-kv tr *wiw: DAJtm rime-;-.____i 33 i-4 l.lr3t' K Pt�e. N �Z. (NWM) V�dd14 - PdsibnNtp W Ifar dGDbw of_°�'� ��aresax ttrel Io we beet d rep 1e►owerage.tha drraeeed (hes sa}p�c�Irttd►er,delbbrlltador.beeMy.beaery grow tMPORYAW- heia,fadbm*ks Mrfrtw ar Mdbsc*w dm*x kt hb er lrr beef.( ► T 1 car*"t hewer fto ooww Ord suloftesun w arrow fbr"asrmom of dos rsnwkw"w oft;. the dbpoePJon of d* aemese0 reneatrr,d M 4Pj F 11 FA ftbWons hs"ddw oftn rwnowed of Way be debvysd,ova opw to I v n oof v end errs lwn%is a Pkw 1Aw+Casmeswtm km OV rod as dr1 1 dwroxtr Fw tors or domeW wfitliie mW be med-pew o slam by ream+of at oonnetsrd arrR arerfredte+d tole ranrslrM w dwet.Yrd,arMfter eudr drMree a drnards er1►nr are rW6'dy tpou d-l-ire.finer or ksud Aw-c A /► of;;-swim or leersR prww*ad") Spr*d ar tttia ds10 { E —..4 1 hersbp dwsm away viww c mnaeo tw kF dYpase a•Is arerrrto A ftsroft m f*mw NW lea O.-b r mw+perrgr.'ts-Pwoo eoftw TU► to y l�' �__ it rr*WftlWn Of vsa'Alted rr mft b r0 WWIW,dlrlll tom:AV"16.2W7