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Tessier, Jeremiah 9 CEM'ZTE'RY AND KER ROAD, CREMATORIUM (518) 74�44 6 S9VRY' KEW YORK 128p4 (518) 745•.4.477 Fvnerel Director r'ert�S -U 155 J ( CremLI atl.on Casey ZZ ` r �� Te remation Started W ()U T.� Cremation Completed �� KU Container I rO , ap rQSTC � tj Q vi: IC to �u �h � zz1 Town of Quewobt y Pine View CenteWy sod MnsWm 4 21 Qwker Road.Quemu t", Cemd.y ORios:(518)745,4476.Cr olhm:(518)745-4477 At rorimm to CrenMMD The rndonoWwd requests and adhortme Nine Visw CmnsjD fun,in s000Mftnce wffh and subject b fif RAW and PAWd OM ID crernaw the ramefns cf 1 let kc, - ,,_ Lc---e- La zee-ru WNW" c�f►�) d�►dvAo77cbd on at - _ acme and a MmS d nears r wAng raleWs or name at paeson arafwrthine Cl n�� �S5►Gf �) Reietlorrehiptolhedse.'�eerted � I/1P�— Nlfrne d Fharard Homs �4,�-� �ORTANf: lire deosassd pbs)�P defiorfllalor,baheey.beNefY f •Pow 1 e spertseeet Bret b>tre best d mf►Nero�wiadda. CA radioacfhre fe4. 1.a radoe ml i da lm In his of her bodit. ) Cdb 1 fhet f teerre flf!pawar arrd aollhoet7eYon 1D heom bean nmo vd or W ftfpd,and an , So c *'aM cremeled nndn%that a w p �P°a°°°0forw arms hsndeas Pine View crams"=from any nerd an delms and demands for loss ar denrapes which nrefl apeNet mid by reason der cadres led wMh tins Camefon d said earnaine as aided,wherrar arch clelens Ordenrarrds are a ere not wholy or ) (%MP d Addreaf d Robfi a or Lapel Repraeer s) Sipnad an this dmW 5 obpoaldorr of Cnemaled Rears m f hweby cites Pure View awmk rk m to depose dthe dsmeosd reeerairs asiosars: MOM ID odw anarrpmmo-places op wor- if pfshreebom d creenaiedremains b requaeled.ciredk here Revision:January 1.200