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Beckett, Ruth A. Pine View Cemetery g Crematorium Quaker Road Queensbury, MY 12804 (518) 745-4477 Or (518) 745-4476 FUNERAL HOME: _ _ Q �[J -�' _._ RETURN TIME: DATE S TIME REMAINS ARRIVED AT CREMATORY: NAME OF FUNERAL DIRECTOR 5 wit OR RyHE�pG��R1�33TERED RE310ENT DELVER REMAINS NAME: _____-_ TYPE OF CONTAINER VAj PLACE OF DEATH: _— UQiQYLe' Al agq ESTIMATED WEIGHT OF REMAINS B CONTAINER —so ----- PLACED IN HOLD! PLACED IN REFRIGERATION: GATE OF CREMATION: S'dS-ZeLd TIME STARTED: �7 — _—__TIME COMPLETED: PLACEOIN RETORT: 7 _ p Q -- _MOVED: R . �O_3i�_-1-��__- RETORT # IN WHICH REMAINS WERE CREMATEO: '_SyQxI_ ei DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN 48 HOURS FROM TIME OF ACCEPTED DELIVERY: NOTEi THE CREMATION LOG SHALL OE RETAINED IN THE PERMANENT FILE Or THE CREMATORY N mmkw e NEW YAt FORK i)IVISIOfI Of bellon or CEMEERIES 0PPCRiYNItt. wOZ Commwa Reze CemeteriesAll M Common F,IBpba PkAhurl Authorization for Cremation and Disposition real Autl Zanm Ed"must be CM W and alyad color to aelnan or remains foe cnma0on. Down May 22e 20220 / Norman 4� (cement Name An l L set AN.kms'. t1 bA R� a b l� 1'tl a{V{ Pbne', f$ a) 71(IIl/I) CREMAPON IBM IRREVERSIBLE Me FINAL PROCESS. craband Aration Of by mod,tie remains M me M mad and We mnmlrer Wrong has barrel use aoarretiT chamberwM'e Ina are sugxtM to Intense neat and dare. The beat and name Mil Inumneeme and condoms ava el eawq Wine and metal, whlGl mall Nm All be left Nor namaYon. Following ue M,the returned tell take newnabaeefTorts b mtmve all of the remains am near mwhat Imm Me oemallm Me met and a Increased and t rown a l lR likay bed ymendono in hot by line nodded odd adnbl aMmrege matendl fmm Ina remains seine mdaen a Nimb nmarea rilbe aa[aaN ormrqurNbylaw. the uemdtearanalndwlCe arm all d Is deaas am placed 1Mo lcesgnele]mMalMrdum. Cnmabd remains gemMly,ae Wlnrlmd unXl Iro elryle ln9manl le«ngnliabb ae vMalemlliisua. OPENOIWOE THE CONTAINER no toy,may s m e open me nces,howl lF ed tM uua� named Rome in llmued Promotional such as bhRrm me idmtilyolthe model or W secant metro maW is losowN might Injure imperial car darnme the uemamor properly if human remains era cut vand In a conblrae which Is not suitable for central diner as consu tl or barrel metal,the clatttl trneoa1 .imnmMOeaese0 annal container eras r �vmmmwe pB =W Nor murd r andak be hg isl Yen ryeAl ssO IDENTIFICATION OF DECEASED XmaMttymeO; Ruth A. Beckett ModurSo en. Widowed tsatXmwnaaywa; 77 Catherine Stir Fort Anne NY. 12827 pgwmoem: Warren Center, Rd Ouriderebury, NY. 12804 See: Om OF Can: 93 ona 8/28/26 DN<of Ddem: 05/21 /2020 ENm wed m; i4D D Moue ofCmkeVm%elna in which mralns Mn be daivxal. New England Cremation Products— wood/wood composite baser - PERSON� N CONTROL OF pt1 ITION scanda6�in mobs a immust4w5 waset WE aob;lw'Mmpl I aMNe am me Makeneled accent m tM d%c WOpigmW m atoll a"EM ImwmM azaaned Mohamed to Wdlc HwNh Lou ,IM1. -OR- Me law m hersymm,that tie deuaeed armAer awdAm iwAddw l ryhauss to Public them law 5amm 4201 or e IIMai%rq dirc mbr the 65prow"of his or Mr borrow am men am Me pdmmM himself al undo Public mean Lae, SealmOn YA nark mB we to romance uam&im of MA homes of me dmexW lityrour neutral to me mcemed Is al eallows Ruth A. Beckett W&l8 t(Rw ON15) Pares t ol3 Authorization for Cremation and Disposition (9uMM1am me aaddpM currents. wdipdm: A rg 1. Amnon desyne ,n wom Wreuart m Wdid XmM Law] an a2f11]l: 2 The wrehl9 Sai ]a The surviviy domestic PAmMl } Any sumi child eigmi ywrs a di or older: A. Asho ing parem 5. A surant share elghleM years of she or older. r And Oea�sm Had guamlan; aa y el3hlmn yeam9e«aux amium mznarem me mtae am wro Mere drawn lnraaiorumpmu.a¢cssm: e. AdNy apWlnred nduaaa 0 Me www: 9. Acme franc or remhre war he&wascad ached 9alemenr purnmam m Public III law sign azolol: ion.. Ayv Neepl officer off's�rinry or aWhile aamburamr appelnbO Wrsuent to gw Saudi a feud Rocedi Rut rgm^Hard or Vie dabout and wM nss eaawlM A w e,emmmanl pursuant m Publla NeMN Law Suwon 4201 (Im ' r ALL THREE of the hassam l ® awe mrmy affirm Non the It of the decreased doe not mntaln a AsmY hardy MM pore can, ra]WArve Ilrplall, or resonance dsnm and that my sam memab were renewed Andy he me ar nd Nlc Auflro ,dew Form. Patten to remove me"items Indianas enmmon may result In harm m Non cmmamry andemm pew rnnel. iVN¢affirms thin lns4u ms have been saw Bruce R. Mason, 11222661 reessinf me remmel of any pe Wpwmmy or der Nf'urq W"Me xmch cry peso^Ment below or my burly menOd Of me tlaaeeeedubhes wpreearve. th ui l _ Is not rmpansibl¢mr the removy N pwxntl Items(and the usual«bad IMmmalns W the decreased. 0.remal Ibms INl In IM �����ca/////gfffJJnner or with the nee Y as addll an destroyed by not (ctmmM n mouse and cannot be demanded m n d ar Manhatta . Me hymw Muorha 1 JYu �v and by crvmab me mlama of not deU d. Fli The parr^smocks]In m 8rMa W abuse of We means mas dema«Y u: Nara: Bruce K. Mason Aurora: P.O. Box 277, Fort Ann, NY. 12827 Prom; 518-639-5252 The«amaed rvm a momm wul he answers to My aboard: Return to family. IlMsH re6Yn Ne LdeM nx'NI Nave ONs rM late Wss ofIMmmndM redeem. JIs aNal ed affair 3e wof NardreYlam Mason Funeral NOOe bdaPo rrNw�yy an Pearson bym shred mad. Ruth A. Beckett lamentations PNeRa] DDS-shinf Rrv.W15) I Authorization for Cremation and Disposition f(ahg(IM wmMb91 Me understand that O the !�barrel are mt dame]Wnln 120 mn of demelan 1' d fu mX nlaldh eW",O min onlntneate,manner,such asM, CREMATION bout near,name,ldpeYl © An urn to b0 usN as a contends her Me rmltlln has Lmn In andis"in Nation Funeral HMO amie amotbeass Wbwr Pink Cultured Granite with hummingbird. Men Mtlwclted Pet HIM un is W emel In Wit Me ware annual ammins, an addifpnal raw (ne lnm an"be used war daWay, .GP. An un is mt Me postal Me andeElaM tlW IT Them is hadmanl or olb ngwNW V Mil dace the essential Whereas e One LLnwrany trwane for deivart Imeuwrn This ambaealron Form was MTh dtry Bruce K. Mason, 12261 was"handled A Mason Funeral Home v�.+um.rAw __ wort Ann. NY. 12927 InWmxM.mmu Ie a.w and Is award b/lheseems tirege in Mhlesab mssalin extian. I/We hwe receNM a xmgHeY wry of this AUPwly Form. The Porserls)Ideral War Were this prsoss)In shelf d inundallm,wM by staining this AU adn Fonn.Wheass) to and accuracy and compertiness a the Ilrlemmlm corulned In Mle ANeentra bn Form W sanshrim sl the West,". agrmd Pia 22nd myof Nay 10 20 unu 98-19_Stuee n n A� s inns 11 �12882 WITMES UGE Ruth A. Beckett DDS 1 Melt(Ren Owl 5) Pqa ads