Wright, Linda Lee Pine View Cemetery & Crematorium
Quaker Road
Queensbury, NY 12804
(518) 745-4477 or (518) 745-4476
FUNERAL HOME: [ D j RETURN TIME:
DATE A TIME REMAINS ARRIVED AT CREMATORY: j5 :CD
NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAINS:
� S
NAME _ E D4 uft&e
CASE p 7L'
TYPE OF CONTAINER: _ B• )° / /k:�I(IyP�,,.1 - pµ,, - }F
PLACE OF DEATH: LLe Y[IIS W
ESTIMATED WEIGHT OF REMAINS & CONTAINER_ Ito )�
PLACED IN HOLD:
PLACED IN REFRIGERATION:
DATE OF CREMATION: _ .1� (j ITO p TIME STARTED: II �7�d AuI TIME COMPLETED:PLACED IN RETORT: II:TprI T_MOVED: YL KPt'� �Z.3CQPj
RETORT p IN WHICH REMAINS WERE CREMATED: 91M B.F: Alp
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN OS HOURS
FROM TIME OF ACCEPTED DELIVERY'
NOTE THE CREMATION LOG SHALL 34 RETAINED IN THE PERMANENT FILE OF THE CREMATORY.
Nov,Yoe Saw
i NEwPORN Division of m"FM �eYS
J�l$1iN TEOF a. alVIaIUH OF CEMEIEIXES
OPPoIfIVNIiy. Cemeteries 99WIntraiun Avenw
Aft NYC2zFmM
Terri POTINA226
w.nr 4>sM9vv
Authonzatlon for Cremation and Disposition
This auMorin Farm must W comlNabd and signed prbrto alHeryel Remains tare now.
0.1e: 0612442020 boreal -?I.-)
CRemtay,Name:Pirre Vlaw crematory
A4emw.Gueker Road, Gueenstury NY 12804 Pfnrw: (518)74 4416
CX TION IS AN IRREVERSIBLE AND FINAL PROCESS.
Counsel is wines out by geang Me remains of Ire eeavi and Me wMtim holding the remains into a cremeom NwnCx agents
they ere subjected to marrow MN and dame. The had and Mms will Inclmrab and consume @""lne except eons and and
which an all that will by IM aM1w crxnatlon.
Fdloaing Gemabon, the crematory all ices reemnabe$adds to maids all MMe remains add odder materal ham the uemtlgn
UambeS but some minimal dust and hear will likely pe left hehiM, The cramil will wmmle finkentel and foreign me shorn
the remade and the weekends and foregn mabhal wYl ee eiepmea des requed! bylaw. TMme dremains WillperrKKLanirelly
Wlvedmd Into small pieces and Named Into a designated container orum. CnmetM rsnralro PomnlFy w Wlvartatl untll m
single M1pment is decognbeNs as skeye al teal
OPENING OF THE CONTAINER
The pemabry may only ocer the container holding the unoemated human remains in limited uwmslanws, such as to mnNm the
Ment of the deonasM or to ensure Met no material is enclosed which might injure employees or damage the vematary promM X
human bmslm an detlreraa In a combiner which a Not suitable for Cremation such a$ceremonial w renal qsM,the
rnmsMry wNl raquin MatiM nmeim be moved Ind a auhebla container baton tl auepb Ma nmslns. The opening oa$
crammer 0me transfer or removal mama rid will M COMuded DeAre a wmloi,and will be Moore priveal wiVM dignity and msm6
DENTFCAno_ NOF�W
Name of llxeawe: Linda Lee WrgM MSMal sham: Married
Lee] Known AGdreae:35 Gonadic Street, Lake George, NY 12M
pans of Danish:Glgna Falls Hospital, 100 Park Street, Glens Falls, NY 1not
Sex'. t] M ® F Aga: 72 IH1e 05/2511g47 pMoloeatls: Dat2mo20 Fsgnated WayM: t96
Dwmptim INcwMNmrNimv in whM denims Wp pa edged..
BuBab Casket Company-Aft container
IERSOX MC
(Pobm(s)N her Of damaged, Cal ONE M IM Photons)
I amble ere Me aesignatM Shedd of the aem$W designated in a Wl a merged iesnms s e¢wlM puwuad W Fuji
Iwah Lawjd lim42ot.
Y-
464— We have no knowledge that the de er eed executive a drove demanded punuem to Poore Indeed Law s6aon 4201 or a
Wil ctnins directions for Far addressed a his or her remains and IMe are the personas)having Monty under Public Health LOW
sechm 4201 and have the right to Abriw orientation of Me remains ofthe eex.md. W/Our relanonebp No the Wceawe re as
bloady
Linda Leg Wright
WS-1898-f(Rev Mrzm) Page 1 03
Authorization for Cremation and Disposition
nrr ram Melmdaaw(
Number: 2 Dwdidan. Husband
o]. Themnw��tained In along Plaaua ID WOla Heats law$atlbr0l01(]t;
m
to no survrvng dommm parer:
A MYfaisurvivi wag or aighown yNn ofage a older
g parent,
S. A wrihing sibling signal years of ale or aken
& Alewmlly appoimed g imian;
Y ANY deremb)egMmn years of age or Older entitled to Blared the estate and who home( aeeal In mlemaywhip m Me 6tCYaM;
MWOffirry Of the estate
2. A dmelpMmnrd oe rekd rasa was YMCWM a wagon ammmenl
10. ACh'¢I fiaml oMcer 0 a murrly,or a PUNK administratorPumuanlan PU Me Suges,5 Craft HnMLax SeGonrayer I;
Mo. Any Other Will who is acting On bahm of Me hceued mdnwhoo hm avecrded a written sralennnl prayers.,M.
Smarm 42011�i. WmmNlo Pudic HeaXh
(Iff ALL If Ill&Its thermal
NWe hX&ry BRrrm Mtl Ma dHy Of Its dB[easod tlma rglmmain a tapered, hBllery pBCk. paNBr mil. mdioK4ve rpdnt.
Or mdimtlXo denim and Mal any suA aelenab Wi madpl poor to Its omMan of this AOMpWy Farm. FaYum mmmmB
lawn kema poor m Cnmafan MY rani In Manor Its cnmamry am Cmmlary,pempnml.
d)IV Irvearermtlwllwnunuanahwademaivenm Mark DeSimone
aegeo ire Me"formal alwry"formal pcYedyoroMer thing Ofva,xwlich any moron egning lelcwora"%m marshall
downward wishes to pramrva. Pine Mew Cremato
ry
a not temporal for the normal M pM lthem,M1am Mo wmiw whownsom
nMe romans of Mod%Bamd_ lyraowlImrrra lass In yy
OnmMM or Me remains wall MY dwbged 4µa cmaralon mamas and cahoot Me Mllevq sax M,,,MOn
kfIV uwa haraly aothodw Pine Vmw Channel
mar w
1(rMiN MlIWJAU m cnmabtlw ramYm Mtlx dxauM.
ran—lary,NMWamd nxueyryafn tlw opinion Of the m nd clrpxmr,and m amm�ery farm m Info ayanalmmeat
addrem of such aM manaory. prm'iM Its corms name and
FIf4L abPDm
ne moron aNtu¢M m"fmire Me Channel remains Or and damaged from the Otymmy Is'.
Home.Norman Phelps
Addmu. 35 Cotten Street, Lake George NY 128 Pnone (518) 70"W5
this oenmdd remains Or Miam d will Or diawetl a of salon:
Ratum to family
If for any mawnle esmon namN rtggil rrotµa aaasan psyaaolNa rxayn,
Pins View Cromatary gauMtllmd to a"wxwdm by
aa. arr'ti
Memneinsm Regan Nwarov SibeffifirfundF H ay delivery
inp or an,Mismmd real d nwwwww,
Linde Le gM Lea Wr
DOS16Bb11flev. Oft PaOe Rof3
Authorization for Cremation and Disposition
(b�mermewmgy
A)O waewe ndthateroeremwnseremtdaimm IN reef mamamn.
Pine
an haetmaahM m.nmr.summny wmdag. '°"'"" xay ewaom ertne mmamsy
g MAnox—��`
INHg ONE affha lmlawbp) y
nn um to ee umd as a coma of Wim,so msae anyway has been possessed rmm Regan Denny StMIoN Furneral
and is detanbed as hold
Ifwe oaaemtana tandate one a had anus to head thee mueyafad mmsm. anamihoren sine mmaimr my he me for eathose,
-0R.
tin one a and M Pnseamd. INh imestam that itnovan is amseum or othar.ese prevent
PineMView Cremet
� wiu pieta me cremated remelas in
e aNN bypenaY eOMeimrta'tlelHeaY.
rni.aamore.gea rMmwm tswnedq Me* J. DeSirnwte wan axecutm et
R� De SteRatl F �I Honde
53 Quaker Road Queensbury NY 12W4
.ivvmsr
am Ie waned by ma funeral ember as wnness he is eaecoads.
lMe have retained a mmpktm may of than Autlherfri en Form.
me Ponaniq MemMW III aura the Pareurds) In wi loldbtndnttlyn,stand M signing this Amhomannot room, memo)W the amunry am cdnpMMnna am Nbm On aonYteM In this AUMwtratlm Farm and antennas)the to,e ing.
Manwude 24111 dyer Juna ,20 20
Norman Phelps
35 Cortland Street, Lake George NY 12a46-
meonna.e,. yr„
wrtxasg: -Qn
Mark J. DeSimone
semI
w.aoi.mnwem.frw
1091E
Linda Laa wd9bt
a.—.y�,
DM 1898f(Rev. NN) PMp]M3