Snowball, Edward E. Pine View Cemetery g Crematorium
Quaker Road
Queensburyr NY 12804
(518) 745-4477 or (518) 745-4476
FUNERAL HOME: nb KUN
Ek
- RETURN TIME:
DATE A TIME REMAINS ARRIVED AT CREMATORY:
._. __
_ S(Tl1TO
NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAINS:
NAME: _____ upon
TYPE OF CONTAINER
PLACEOF DEATH: b730 1
- --
ESTIMATED WEIGHT OF REMAINS S CONTAINER___PLACED IN HOLD: --"�'—
PLACED IN REFRIGERATION: ___ - -- -
m�
DATE OF CREMATION-
TIME STARTED: __ 7:)0An
_. TIME COMPLETED: _ lot
PLgCEO IN RETORT: ._, 1i4 yp �r-1—_
RETORT p IN WHICH REMAINS WERE CREMATED: _... . --.._.m._ _I 9-��1
my
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE—HA y8 HOURS
FROM TIME OF ACCEPTED DELIVERY:
NOTE:THE CREMATION LOG SHALL GO RETAINED IN THE PERMANENT FILE OF THE CgEMgTOpv.
wiFYerkwwa
NEW YDRK Division of DePemw. dwm
STaTE(M OMSIONOFCEMFIe Pag
° °" "" Cemeteries ON wem�wnAwetue
All L)FOAl
missiome'.151814JM3a6
ni
Authorization for Cremation and Disposition
This AuMwlntlon Form must be comp d and Signal prlortode ivory ammelnerorcmm.gon.
Dom,. MAY zq z020 Number: LL7
Crematory Name: Plan VIBN crane ry
Address: 210ueker Road DisharWry, New York 128M per, 518'noS n
CREMATION IS AN IRREVERSIBLE AND FINAL PROCESS.
CremYpnie cemed old by pleung Ina rameim of the de am Its conlaner FaNrg the remarw into a cremation OmW where
IMyawsubletteltolrtl heMandflame. TMn taMflamewillirci Wandwmmeev MingaxceptMmmdmNl,
whin are all MM will M MLL after Chanelion.
FolWxing Fremaioq the crematory Wll take Nominated aH011B b shows all of Me remains and other material OF,the cmmatlm
chamber bid some minimal dust and residue will likely ton left behind. The crematory MII separele inoder�tal and foreign mall al from
the remains and the mudeMaMnd foreyn material unit be disposal daa rdrykeb bylaw The cremates remams will be meMani®Ily
pulverized into small shows and Pill into a depgnated mnminm or um. Cnmatel Marinegenerallyampul HmduMinD
Single Mgmentiamgnbblemekamlalt uf.
OPENING OF THE CONTAINER
The comdary may Only Open Me cormeor hdding the unaemadd hum m in limited tiurroancers, euCh as to Carol the
identity dine desimed a to ensure met no materiel is endorsed whim might imore rmptoy"s Or damage tM crematory Final If
human mmaim an deliwnW In a conbimr whlch Is not milabN Star Normal ouch as caremonat or made casket the
Mabry will require Mat flaw,remain b re e mOd Into a sul COnmischoolr Were it school me re mairm. The opent rc1a
colonel
iinewllcewmM ddebtsawitnmaandmilba Coneinpivary, v dignityandr d.
IDENTIFICATION OF DECEASED
Name d DSCmSM: Edward E.Snowball MaMalS tin VA7,a�ed
Last known Moreu: 3230 Church St VNM, New York 121 chi
Plain of Death: me Grand Rahffiilsit'wn Is Nwakq M Sarm4l 32W Church St.Frane New York 12184
Saw: OM 13F Age: 85 ma: 1-5-1935 Dgfo Mg„g,.5-20-2020 Estimated Wright. 150
Desniphon OtwYevantam in wMM remans;AS be deliverN.
Florence Casket, plywood corrugated cardboard mntainer.
mPERSON N CONTROL OF DIBPOSRION
(Persm(a)in m too of dapnilm, intial ONE OF am bwmans?
I enrM'a We the dowigraded agent of the Measured designted in awill Orwrwn instrument mended Wmuenl to Public
Health Una Se Lon 4201.
R-
IAim have no knowledge that the dammed execded a written instrument purniM Pi Heats Law SeMron 4201 or
Yal COmalnng luMiona for the dspmNOn MMs or her remain and Its are Me"Man r)mining pronty,under Pudic HmM Law
Seat an a201 and have the right b aumonze a6me8m MtM mmain oftlle MCmsM. MyM r mlationnip tetw lecme6 ism
follows:
Edward E. Snowball
DOS.18N,fMew. W20) Pagetafa
Authorization for Cremation and Disposition
da�_w man/oNoxwp)
U,d visa undemardidat ifthe mountains;are nmaalmed admn 1m days of c mesan.
Pirowax Crem"
an irreMeoaMe manner. such as ire aoetlexng,
may deposit0Me remawa
CREMATION CON1AMEMURN
(�GNE�da Mlowxg)
An um to EB used as a container fan Me demand months has Neen purWegtl Sam M. B. Palmer Fumrel Home
and is descroal as foYwn:Florence Woury Gm
IA+n understam roar dMa am is ton small to hole Me entire connotes mamas, an addiuenai Vol mntaher may he used for Malwan
oR-
An um is not yet punftexd. muse understand that itno um a puruuced aolanaw provided
Palm wow crematory wdmwnawnt yet plane the cremated remains in
a dgM tempoxry mndow ford on
ThU AUMorizetln Fwm was Claire C. KOiwpM was executed ecwesm
M. B.Miner Fumral Home rwwmn
130 Main St SmN Glens Falls, New Yon: 12803
and is Signed Iry the mnerm trisector aswsness toss execution � m.w
Iona have Salhed a completes mayor this Awhom cam Fom.
me perama) ldenOed below wan the personals) in cenaol of sapmmon,who a an going MIS AUMonnfron Form. amsttq
W Me accuracy and completeness of Me Information contained I MIS Awhorlaatlm Form and a yhorize(s)the foregoing.
Glgnad MIS 20 yY of May 30 20
Daniel Gnorall ��•:;p� A.�� .,,. a,-,ro
320 Giltlaist Road Npyle, New York 128W
WITNESS:
Caere C.xiorwp pwwweersoaaN` ,�� �
11932
Ednrd E.Smnkell
Dp IR Ef Mi Sal Pye3013
Authorization for Cremation and Disposition
road age the tat hefoaw
Nun :3 Gesmption: Arry6O wind child eighteen such;N age or older.
1. Aperson decimated in wal pureuem to Poaic Heath lad SeSm 4201(5);
i The a rvel aryme
U. The aurviaing dmmWmm partner,
S. Any surviving chile eighteen MM of aye OF older.
l A auviang parent:
S. A morwirg sibling eighteen ram W age or older,
B. A lWully appointed Mardian
L Any mamma) eighteen years of age or older earl as share in the estate and who news doveat In relationship to the dettelW'.
B. A duty appointed fiduciary of Me estate;
S. A craw than or Blatie wM has vesioda wilier statement puma0l b Public Health Law SBOiOn@01(ol
10. Achiet fisml o(hmr of a murdy or a pudic edministrata appointed pursuant to the Sunapee Court Prtutlwe All
PON. Any other Ammo wlro is acting on celuff a the decreased and who haswaeed a semen statement pursuant to Public Health
Law Sxdon 01
THREE dtlw kMowlyf
INJx hereby etgm Chef 1M Eody W Me tleceeaetl iced M mntain a WMry. betlery pxk. lrowert¢II,ra]ioaGro Implant
or rMApClNe desire and Nat tall such mgorrals were removed Vim to Me execubm of this Aumariaahen Farm. Failure OF r ave
Nw Ibms prior to carnation may result in ham m 0e cnmamry and cr s" prsonal
LL._ IMle efim mal 'matrvdions have teen grvm to Claire C.KonapFn .eeo�xu.
regardng the n res"i Many personal prepaM or diver thing of vame which any perm signing Ixlow or any 4mly memCer ofMe
mceasm wtNea to Preserve. Pine Yew Cram"
iaM reymsidefor Ne removal of Pereonel items hoe Ne mnbinenahwn Ne remalna of Mad�awd. Penmallg sleein Ne
conill car well Me mmafm will the destroyed by the anmman pewee and GmMtie r,dnevmd affair cremation.
Vr hereby auNOrize Pare Yex Crematory o.nmyw
m rnmem M.rem.im W M.Mussed.
(fry OPTRIVAL)
has hereby authorize Me named Nnmi investor to Provide far Military to and cremamn by an alternate
lmnamry, if tlumad necessary In Me opinion of Ma mneral hall,and m mnend this tam to provide MemOmt name and
aMM of such albrmm cnmamry.
FINAL dSPOSITION
Theperaon MhorizeM to rereive the v ed females or the de SW hen tleaenMbry 4:
Name: M. e. Kilmer Furveral Home
Atl9as. I SB Mein SL South Glens Falls New York l2lN piece: 518-7,15-441
The uemmM remains of Mewafled wm be dispomd Mas fallen.
if for am fuaco Me pmmn wmm abae does net case mewadm of Me mm remains.
Pine Yew Creswell is aMhdued to give p sm not
Na¢mans to M. B. Kilmer Furerel Homes by it"
"Wasmervi
in were or by Mistw mail. EMvd E Snw ll
ou.aa�r
Well f(Fall Gai Fee M5