Pratt, Louise E. Pine View Cemetery 81 Crematorium
Quaker Road
Queensburyl NY 12804
(518) 745-4477 or (518) 745-4476
FUNERAL Home:
'-'---- _-._ RETURN TIME:
DATE B TIME REMAINS ARRIVED AT CREMATORY' _ - -
NAME OF FUNERAL OIRECT00. OR REGgI$TEREp RESIDENT
L__ Z_IfJ�f
T DELIVERING REMAINS:
NAME: _ "--� —_..1WT4..._ _ / / ❑—_
I �, n I .� � _-..._ .._CASE p __.
TYPE OF CONTAINER: -- W00( �INr
PLACE OF DEATH: G ®-
-
ESTIMATED WEIGHT OF REMAINS �-'-
36CpNTgINER_ _ - �__ ZOp
PLACED IN HOLD: _ �
PLACED IN RQFftIGERATION: ---
DATE OF CREMATION: _ —
f 2 W
TIME STARTE@ __
TIME COMPLETED: 10 Dr'I
PLACED IN RETORT: -1 ACII)NI _MOVED: _ n A.� q iJD-L
RETORT 9 IN WHICH REMAINS WERE CREMATED: , __
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN AS HOURS
FROM TIME OF ACCEPTED DELIVERY:
NOTE: THE CREMATION LOG gxALL BE RETA
INED IN THE PERMANENT PRE OF THE CgEmATOgY.
EW YORK Division of O.PemrNh;MUERiin
ST1TEOf OMSIOX OFCEMeEFERIES
OPPoIn11NnY. Cemeteries Was Naghon Avenu+
early23i
THlare" Ishmae6iM
Authorization for Cremation and Disposition
This Au atim Fees, must be can ~ and shined prior to MNYery a remains nor Manuel
Dark�)2(` 20 Number.
Crematory Nflme: Pine View Crematory
auakerRom.au..rhamy.mlzaga stsTasan
Aeere:e: PMne:
CREMATION IS AN lW EMIBLE ANO FINAL fed aa.
cremetanle rents oa Wplectrg Me rareema orme aaAi sin Me conumar holdingMerm mmoaa«mmn memw AM
Ceyed wgectal In intense neat and name. TheMtandflemewllllncin«maMw umaaveryllingeawp!Brevets meh41
Which are all MM will tea an Bear cremmm,
Followed IXrearma ,Meaemalay All lake reasonable efforts to remove all of flan remains arm other later lmm me cremation
disc Area minimal dust Indreydue will likely belts behind Phe crematory volt square mercurial am foreign m«enel lmm
Me meln rea and the ircaantel Andfeed Moral wil be diapCa�Bas reyuirm by si cmoemd rwr n. Toe ame will oy m em«lI
announced Into small Pieces Who plamdInm a deslgn«m formal or um. Cmm mnains alkali wan pulwe mind the
single fragment Is rwoBnipble as sa$l tltissue.
OPEN ING OF THE CONTXNER
The uamul may only open the container Mloing the unoemamd human remain In limited amum9ances, such as to sng"its
ideni Me dewasm or to enure that no material is endcaad wnmh Merrill...employees or damage Me aem rmy property N
human remains are dmvsrM in c conM1iner which Is not sukade ter Cameroon such as wremoniai or Anal Gaktl.Me
cremMo An regube M«Me remains be moved Into a suitable cAmirwr pore X aceep4 me remains. The opening as
WMainer a Ina transfer or Mmi W romaiM will be conducted[91we a wiourns and will be done in Mvary,all dprcN and respect.
IOENTIFICA�TKKI OF pF F EE_
Name of Declared, Louisa E. Prelt NMxM MMus WitleweC
Ism known Mdreu: 187 PleasantAgw Dr., Lake Lozenge, NY 12846
Place of Deaver The Glens Falls Center, Bremlen Age, Oueensbury, NY 12804
Saw OM Oa F Age: 86 Ooa: 5/161198 Daft Oeal 512OMD Estimated weigm. 2W
OeA.tplmn ofceewevwnum«in wnkn marine an be delWe
WOW BOUOm Cremation Container; Buffalo Casket CO.
of
Will
mnlyd adsco.Ndar, under ONE army Mmantgo
ya a i I2m e«e ms designated agent 0 Me dense 1dasgmt in acon a mean WWmem Argued moment to Name
HUM Law sin 4wi
-0R-
Me have no mpwfedge toad arm eeceeam mounded a when irg Mmem payment to Pmmic Nwlm law SeraMn 4201 a e
he min inirg dbaupns MMe disposlbon ahis or her remains and MAY are Me therms ls) haws prom r under Public Hearn taw
Seckn Lro1 ere lure the night M euMaae wemabon of Me remama o1 me daymst WI r nlmonmlp IN tM Mussedb ss
Mbwa:
Lousie E. Prat
OOS489i(Rev, O8115) Page 1013
Authorization for Cremation and Dlsposdlon
mm�el veer earmarvl
FWY CWmam ymmnt met it Me mtwlre am non damages VMem tID turns omapq,.
u� r far g &tl mmaimin
enirraorr.ayN mangrar,aaNr ae evaaatWo-y. r
QREMMIONCONTMNEMM
( ONEHre hermuW)W= W
2 An urn to he Lead as a cvntairnr tw ee o-ematn margins lrac yarn puNacM tmm Brewer Funeral Home
au N daxr red as folime, wootlan
Vale Understand mat xMe um Y Im saran to eW Ne enLLa soothe st remem,yr eorear,dpN mMa'agrm.ra uxtltw 6rY.aay.
'OR-
pi—AnIs me year programs. INia understood Mat It an um is Wrehawd or oMnwiee pe.{dp
Pvq Vwx Cmngry
rrw»aunece vtll We®tlw uwrreW remarum
a Ayd tarrlppery wrrtairer p d eINM/.
TrmarmmgNaaMg Farrows pmAa.aM Patricia Millar
Brewer Funeral Home, Irc.
me roses)
24 Oregon SL. fume Lumme, NY U5411
aref b apned to,Me Nnenl dua]q'as Mans to im eaaousen ,0.y
Me rave resa'rve] a wounamd COPY of M'ra AutMtafbn From .
T m nationals) amounted eebw more Me presents)In Cannot Md4gwleon,who ey signing the AuMONatlon Form,aftestu)
b Me reasoner and wmpManue W Me InrormMlon conpNed In Me AuMvtrep'on Fngm and international the remaining.
asparagus 20 dares May , p
Sheila Hughes M n�
n.. ycon ., a✓
3�Allftyevr q.,pMMry. NY 1g20.5
WRNFBe: T1rY.0
PWkNM r
at'lea nmrrvuaw e+..w.asy+H
Lougee E. Preft
OJS-te9b!(IW Wfs) Pogroms
Authorization for Cremation and Dis it
lrwenrmrn rneuubdowl
Number: 3 pa,,pt., daughter
1. Aµysun designation In wrprg WRuanIm PUWal4eNiLry£µyyn030f131:
z TM¢urvinig sperase:
3. me survwkig NOW md*mmar:
A MyJ^urvmnoming roart dgMeen ymrs oraceoroleer
S. Amo iligsu l:
6. Alax l Mci agoaan rears ot age woman
T IyapgoiuPdwd Nlan;
Any ceR arintelgmean reoft Of age or Older entitled to aorta in me aside and Who Islve tlgesl In mmuMMlp m they Oec9xM;
0. Atluly epPointed fiduciaryoldM Klela;
9. A doaB Inert or relative who has e4cured a wUlern gateman Pursuant m Pudic Phil tow Sabah C201(T);
10a. Anyl al OMcparra erda county Or a mi administrator supposed Nomura m Me SUrrtgele'¢Crud Isrrael P[y
Law Seaurnn 4201(T �s erling on behalf of Me command Who has asNMed a wrilmn elayment put Mm Pi$pc 1MXh
(Inn "eI ALL THREE of MY falowirq)
Pere Pat affirm Met Me not Of the Occurred does not Omen,a hdkry.Order,Mask, poxp mll, tad wdww i mmm,
a'radmil device and Met any such success were removed prior to the e✓twool Of this Autlrptretlon Form, timorousness"
UweImme peer m cnntaNarr may ra¢un Inhamr toby,cmma and mmWg panmmh.
dA''h�'Me or thatmeNvyOnr have Omen given to Pal labor
re0arding Me nm-rval Of any parson pnpmN mpher thing avalue which any smash ¢gonna dlowor ads lamiN m+m�r aUe
dd aced wlsdes toPrrds, Fill via,Crematory
a so rwmnscre for the nm M of coarsonalIbass lrsm Me dt ice ors" Mammairm dUe dy-eased. PwamtlXxwlaflmate
mnmlwr or win are nm.ine wnI a a.n.rw.e bran uemaum pnwe.ne canna sa ream+aa anw emn winy
audr
6�'ryb hanb Pine mew Cnmadory
r+wndnw
m)
to .r.m a m u,e,remains of ue a.e.a+e a.
EINALOISPOW
the mrsm authmixM in nwtre May r tw r ins of Me Oec¢YM rygn aq aematm/p
Name
reer Bw Thrill Home Inc
24 Churcd 51., Lake Luzeme, NY 12Ba8 516MbTT++
Al
Rm :
thenlamamn remtlw ofu CerMIIbediapuwe a.a dealdealbanal in Warrensbburgrg Cemetery
If Nenvr Cm n»paptnatrtM a NOR hw cot To rywwsgt WUe older nnmelw,
v:tavyw cntwmry
IYe rerrtaMam &aWYFYwrtl NpM, Inn awmamrww k auaMhe]by aM Pa¢%vMof
w..r..,wN by"I ary
bhp orbvmarginal not
Louise E. Print
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