Wells, Arlene �O O •
PWE Y(Epy `L. E9�B U
CEM'�TERy AND
CREMATOR
KE R ROAD, Ql1EL°NS9UFtY, CREMATORIUM
�w YORK 1280a
(518) 745.4.476
(518) 745'.4.477
dame „ Funeral Director ^
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TRANSMISSION VEPIFICATIOh REPOR ,1-
FIME 02/1.2i2,309 17. 56
DATEJIME 02/12, 11:54
FAX NO./hAME Town of Quow*bury 1.77246e2O33
DURATION Pine view came4ary ftw Crs(0800AM 3 3
PAGE(S) 21 Ouakw Road, ou08nsbWY, NoWft,*, 12804
RESULT Cep ewy Office:(518)745-4476,Cr&rnat*@Wr,:018)7AS-4477
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TR.,-V6MISS'ION qERIFICATION REPORT
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TIME : 02/'13/2�G9 11 / J2
1.' 02/13
rA� NO./�4ME 8AR8IBRT /
DURATIOk 00:00:0V
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