Coulard, Bessie J
1 .
T O wN OF Q uEENS � r�j
Pine Virtu Cer�refery and Creing7lorirrpil
11 Quakrr Road, Qtreensbury, NY. 72804.5902
(518) 745.4476
http://w%II%v.queensbury.net (518) 745.4477
Funeral Director:
IFXa..
Name of Deceased:
S Q �
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Case Number: 3
Date of Cremation:
`' 2 ?00$
Retort: 17p
owe h
Time Cremation Started: C
Time Cremation Completed: 3
Type of Container.
Jh 0 to
Remarks:
MOVC Z �S
3130
" Home of Nnlrrrnl 8entrly ... A Gnnit pI ,, .. ..
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Pine View Caney and Crenmtwfum
21 Quaker Road,Queens5ulry,New York, 12804
Ceiebery Q8fce:(518)745-447 .C.retnaEc oum:(518)745-4477
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Them allftINS FV"VIOW GMMffMMM B=FdMM vft and SAied toftRuft 2nd P&CLtatamto
aernate the reasohn of:
Bessie M. Coulard Female
( ) (Sen}
386 Garnet lake Rd. , Warrensburg, NY 12885
( ) (Cky) (Smte) (Zip code)
vrl,o died on 2 0 t h day at May 2t 08
aj Adr . Tri-County NH, North Creek, NY
O O
Name w4 address of nearest rr v relative or rrmrie of person awmzmg cxemawm
Jean F. Coulard 27 Henry Wescott Rd. , Warrensburg, NY 12885
(N—M) (Address)
Hewoonw-dPto Vie decemed sister in law
Namot urnrWH rr+e Alexanr3er FH, Warrensburg, NY
IWORTMT.
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Warrensburg, NY
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X Same as above
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O"OsNion of Cremated Rerrvkrs
as
FH will pick up
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