Argento, Paul A. Pine View Cemetery & Crematorium
Quaker Road
QueensburyL NY 12804
(518) 745-4477 or (518) 745.4476
FUNERAL HOME: 'Y� y_lu {t.r9 _pRREETURN TIME: N/H
DATE S TIME REMAINS ARRIVED AT CREMATORY: 2f - 2 ,y L
NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAIN& -
MAck 1 S _
NAME: ,y'IIfJ CASE D $lz
TYPE OF CONTAINER: /•/ /S,2 (/� (( _ /II
PLACE OF DEATH; Ara DM4 ry: l7 (/ (O /�vl at �J y
ESTIMATED WEIGHT OF REMAINS B CONTAINER Zq;s
PLACED IN HOLD:
PLACED IN REFRIGERATION: 9
DATE OF CREMATION: 7/I- Je
TIME STARTED: 1B TIME COMPLETED:
PLACEOINRETORT: * — — MOVED;
RETORT S IN WHICH REMAINS WERE CREMATED: Petal p k 'T
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED0 MORE THAN 48 HOURS
FROM TIME OF ACCEPTED DELIVERY:
NOTE: THE CREMATION LOG SHAL4 BE RETAINED IN THE PERMANENT FILE OF THE CREMATORY.
in"try suit,
sT TORK Division of �'""din r"�°rde e
STATEOf ` DMSION OF CEME EE
OPPORNNin Cemeteries
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TNry ne.151c4l 29
Authorization for Cremation and Disposition
This AutllO "W Form meet as completed and offshore
..p11rlorto delivery o,remains for cremation.
A pale: 07/07/2020 Model Ll l ,
Carol Pine View Crmnatwy
adems Quaker Road, Queensbury NY 121 Fxone: (S18)74&4418
CREMPTWN IS AN IRREVERSIBLE AND FINAL PROCESS.
Cremellcn b camed old by pacing the rentalna dine Mcroyed and me wlXainerxddirq the remans iMo• cremation)Ian Mere
May ere sWjemM 0 random hem and dame. They hoe and llama will Mclneeb and mMuma"sry in eepptO add motel,
wxkx am all that will Im IM SNr model
FdloM r'g Vemarl me crematory MI take reasonable sports to remove at dine remains and other m•Mlel hum Me IXemBlbn
chamber, but score minimal dust and residue will likely the tea behind TMuem•lory will sydrome 'mcident9l and foreign melad M1cm
Me remains and MelOtiaenlal and bull malenel vnll be dlsmmd d as rsguired by law. The unmated remain anti be n Aanma
pUMdaediacsmallgeresaMplacedlnmadxigneMd Wilerorum. Cnma mmalnsgeereltyampulwr Untllm
single fragment N nocognhable m ekelN l tioul
OPENING OF THE COMAINER
Txepe We m8y DnFocen Mein WinerhoMing Meunu M10huMnremain$ Ili IlmRedcircumstanws, wchasWwdmdn
col o1 Me aewax3cr W ensure hat no mebtly Is usual Mich mightinjure employees or damage the cemalwy pmmq a
human nmalru am Wl[v In a moWlmr wxkh Is not suflabla ter cnmdlon such as ceremonial or rental caskK eN
remetey wII regmm MettM1e mmalru be w movedImoasurobl0maaina.bafn itawepb me rem.ina mop•mry dot maineror lIm lrenakr Dr remodel anmairu wio ce mnal as cemre a wnne$s am cow return In grad=y� ram aiaary•not aapee.
IOE"FICAT1ON OF DECEASED
Name of peceanm Paul A Ar9ento Mensal suns: Marlietl
Lae Known AWmua Dar om Drive, QumnsWry, NY 12804
M•m d owm, B Da mOM Drive, Queensbury. NY 12804
Sec ® M DF Aga 72 DOB'. 10/07/1947 wdo (17/O612020 Eatieeted WeyM /Yl
pasaiw'en duMNareteiler in which remains wri be aHw .
Milso Casket Company—Alt container
PERBONINCO MOLOFpSPO8OION
(Fbrsm(a)msrAmlddieysilim, vlge' IONEdmekLLMng)
I emM14e are the designated ¢gem of the deweeea MV,atW in a will Or written inammenl Asserted Imminent to Public
HmM ice Section 0201.
-OR
(D IAm he" mMVMeape the the dewax esecued a wri instrument atrauant to Public NesXh Law Solt 4201 or
will xatmning designed;Wr Me Momentum of he or her remains aM IM0 are Me Presents) having pnoMy uMen Public Health Law
SBCEDd.2D, .Mh.MM•rga W.uhsh2.tlems43ndM.renea$dMederAMa. wmUr relatbn.hlp W IMdx...ed Y..
Mlwn:
Paul A Argento
offoongroll
DOS-1898-f(Rev. 0li Page , d3
Authorization for Cramatlon and Disposition
drisen yrom the list famed
Number: 2 Tambourine SMUM
1. Apawn designated in wring punuem m Pudic Heats Lex$m.end a2ot(3)',
2. The surviving mil
3a. The survival domesta partner,
3. Any surviving mile signal yaan of age or alder.
a. Asurviving Meant
S. A surviving sibling eighteen years Wage or lder
6. A mail eppWrto guardian;
]. My Manuel wMeen ymrs of age or older entitled to Marc In Me MYb add who Team closest in Metmenp to Me demeaed;
S. Aduly appclm Murray W the ends
2. A ewe mail or native And has absorbed a Added statement purwanr to Public INwm Lew Sedim 4201(7);
10, A LAW Two olfm of a county or a pri adminahmor appointed purl to Me 5urm2ate'e Court Procedure Ar:
110to My mayor perm wn0ls acting on Whaff W Me housed and word has mundane a wntlm statementWnwM W PWIS NUM1n
bw 5ec 42011rd
(on, ALL Thai NMe IdbMno
CP, IMb hereby aMnr.Met the baby W Ma daf9andd does net contain a battery, Mllery,pack.power Poll. M'vsl inWaW,
or rotational decal ant that any such malenals were renewed gior m Me eusution W this AUMwIn Fam. Failure bmmme
1Mee Nan prior to cremedon may adult in Iamr m to mandatory and crmumry p mi.
�Irxe AM"Mn'wtructiions n.w peen gown m fvl�rk JJDesintorla
repot the removal of ant pme-vW pmPaM or other thin;of"had whim any cersm signMO best or any family rmmber of Me
hardware warn m perm. Pine View Crematory
toedmporeible br Me remwel0f Porsxal damahantab mnminer orlrom Me amain.WMe eeaeeee. PsmnalM1 Its1nthe
container or Me remains wool by ditVy by Me consu n pOWn and CenoW be mrlatetl ant menial
being aomowa Pine Yew Crematory
caseworkers]
mcre W the mmeim m me de[wM.
tannino TIMAL)
have nemby auMonae the mean Nneml dbstorto provide Air delhery to add chairman by an aHemaa
.—tort' m ury In Mayor.
. If destroyed necea Me Wini W e Wnmi and m amend ma form to provide this correct name and
"May; of such elmmne mmMq,
FINAL DISPOSITION
The barren tnorvM to remove the mmeted remains W the Myself M1wn Me uwnalay Is
Name:Elena C Argmto
Address, 6 DefMnore Drivo, Ooeenabury, NY 12800. nine: (516)9 111gg
Ths Mental amain obsessional be aupofed Adds deal
Roam to the family
NM any deal and q ne .have don real mke pos m ante awMMremW,
Pine Vlaw Crematory a authorized by grar poweasstd
ro-gw
bra remains to Regan Denny abfloN Funeral Home by delmy
Fu.+wi..en
in Pomen or M reeisteme men. Paul A Argento
Fwe�s
D]S-ta0a1(Rev. 0 0) PW 2be3
Authorization for Cremation and Disposition
1 eldbnMHl
vwau b.2ME Mel allies remeiM are an Maim wri 120di NGemeron,
Pine View Crematory meytlnpx of MehemNmin
an ineMevYbmenrer.Inner as to sutlMng. rvh.mwc bn
S EMATION OONTRN11Ra1N
( QVEo1IM1e/dbMny
Ra9en Danny Stafford Funeral
An um ro Ee uaeE us a coMaimr br1M mmepE nmairu M1v Ceen WrWreE chore u.....e
and a Ee a iCW as bIWxH:
Me uikmsland NM IIOne um a Iw ii b had tlw none ugwhd remain% an aEENcnel red mMeirer may In rein H Miami
An um am yM Nothe l lMb undarmend Mal X an um u.generation or oberse,me aso
Pine Mew Cemetery tall place the vemsLLd heathenish
m.oac..pl
a rgobnpoxry mnbinerlordNNery.
Thisautlxdaatlon Porm weh prorldadM Mark J. DeSimone was exammal at
Regan Denny SgffoN Funeral Home
53 Quaker Read Queenebury, NV 12594
aM is agree by the funeral rest as versions as%%Moon,
lMe here removed a ampNbd copy&M¢AuMwherbn Form.
no
W Maaccuracy,anal mnplelu of Me installation coM ro thisdoh Ytl In Amboadapm�a auNo�9 �eFQ"
SlpnedtM1M ]th deyor July , m N
Elena CANenlo
5 Darimore Dnve, Queerobury, NV 12W9 a�
rmnoaaar.w. disease
NRNEBS:
Mark J. Da5lmorle L�
w.ehr.asm.sn..h.w �
mmi
0919
Paul A A granto
pwvao�e
IlOS1BBNINw.oa20) Psas;i