Critelli, Carl W. Pine View Cemetery 8 Crematorium
Quaker Road
Queensbury, NY 12804
(518) 745-4477 or (518) 745-4476
FUNERAL HOME: p
- S -- -. _.._._ RETURN TIME:
DATE A TIME REMAINS ARRIVED AT CREMATORY ••"n 11 __ _
NAME OF FUNERAL DIRECTOR ORgEGgIgTf REO RESIDENT DELIVERING RE M g1NNSg:
_h NgMF
TYPE OF CONTAINER: "--CASE p
PLACE OF DEATH;
ESTIMATED WEIGHT OF - ----�REMAINS 8 CONTgINERPLACED IN HOLD,
. 11{,
PLACED IN REFRIGERATION: � '-�—
______
OgTF OF CREMATION: -- -_
TIME STARTED: _ p —� --
---'� 1F1!—__TIME COMPLETED:
PLACED IN RETORT: __ � ((��F.M� �'-------�
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DETAILED REASON
REASONH REMAINS WERE CREMATED; al)��
IN DETgIIED REggON FOR DELAY IF REMAINS WERE CREMATED ORE THAN AB HOURS'
FROM TIME OF ACCEPTED DELIVERY:
NOTE! pe CREMATION LOG SMALL BE RETAINED IN ME PERMANENT FILE OF THE CREMATORY
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Authoria lon for Cremation and Di6positlon
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