Winney, Emma �O O
Q,U T
Y(ER CEMlYTE�RY
RO�D. Q1'NS9 CREMATORIUM
(518) 745,4476 YORK 12804
Funeral Director
=a : e 0! Cremetl.on Casey 73.
Te ' emotion Started
T.� Cremecton Complet
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Container
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Town of Queensbury
Pine View Cen"My and CremaWdum
21 Quaker Road,Queensbury, New York, 12804
Cemeb"Office. (518)745-4475,Crematorium: (518)7454477
Autfxxtmbon to Cremate
The trncters0W recnoeats and st*a tzas Pkw View awndmium,in amordenoe with and subject to Ifs Rules and RoWiWom to
cxerrtete the remains of:
Emma May Winney female
(Name) (SOO
1028 Dix Ave., Hudson Falls, NY 12839
( ) (CRY) (Swe) (Zip Code)
v"died on 19th day of May 20 09
at St. Joseph's House of Grace Glens_falls, NY
(Place) (Adams)
Name and adds ass d rarest tivbg rela"or rants of p OVM audwrt ckV aemanon;
Kevin Goodell 27 Catherine St., Hudson Falls, NY 12839
( ) (Address)
ReierignsNp io the deceased son
Name d Punerat Home rA rl Ptnn n 7nera l Home.,a., Inc
IMPORTANT,
i refarasernt tot to the best of my kwoledge,ft dv w*W(ham or(free ra)peownsker,debar,may,bea+f Y Pam,powm
oM,mftocdve ktnplam or radtoec Ire devbe In his or for body.(Ckde One)
i oetii'f1l that I trays 4A power and mxhorbm don to anarnge for ow ovme to of the remains end to d rea the disposition of the
c rematnd remains,that arty personal possessions,hens eMwr been removed or may be desheyed,and agree to protect defend and
save ltarnnteae Pine View Cromelorium from any end all dslme anti demands for ions a defrrages which maybe media epainst them
by a coon g led wNh iha cnoustion of eaid tenakre ss dm d4 whether such dainre or demencts sm or ere not wholy
or
Carleton Funeral Home, Inc.
v �\
(Aditw)
27 Catherine St., Hudson Falls, NY 12839
(Stpnatue and Atldrenss of RaiadMe or�RepreaerntetMe)
sSonedontWdew. May 20, 2009
t]ieposkton of Crerneted Remains
I hereby dined mine View Crenftwkrm to dispose of tfw c mmated nwok s as Wows:
Mail to
Other arrangements-Pkme spa*f.
N puiverk atlon d owns ed mmak+s is mq►"w,dock two
Rmr#ait :April 18,2007