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Hall, Barbara Pine View Cemetery g Crematorium Quaker Road Queensburyl NY 12804 (518) 745_4477 or (518) 745.4476 FUNERAL HOME: _. _ . -- ----�. RETURN TIME:' DATE R TIME REMAINS ARRIVED AT CREMATORY: NAME OF FUNERAL OIRECTOR OR REGRISTERED RESIDINT DELIVERING p NAME., —B baFi gxt( / CASE A �9 TYPE OF CONTAINER:-nrdn2Ye PLACE OF DEATH; _log RR ,c�./I QI iy 1N � C d 4q ESTIMATED WEIGHT OF REMAINS 6 CONTAINED PLACED IN HOLD: PLACED IN REFRIGERATION: DATE OF CREMATION: b TIME STARTED: Y'EO l..�y`..�TIME COMPLETED: ILFq Ph PLACED IN RETORT: �'(�AT _MOVED:MOVED: _ /00kd1/ ) _ Pl1�dr1 RETORT p IN Wry1CN REMAINS WERE CREMATED; M 'I, DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN as HOURS FROM TIME OF ACCEPTED DELIVERY: NOTE:THE CgCMPTION LOG GHALL BE RETAINED IN THE PERMANENT FILE OF THE CREMA TORY. oPogwroRR on of °•pM'I^M�a�°OF �•IARTNI gNbIOM CEMETERIES Pi Cemeteries chat NY 2231.0001 Authorization for Cremation and Disposition Onnygw 1hla Aide"ft Form must G mm tgned and a s"a prbrb GNvary a remains for MMI Date. JulY 18, 2020 p diamond4j I cmwlov Nmpe. inparidw !rh ARRI H Marese:_11 0"'nKdti Rohe lJdr—E fBIMN N`l IN 1 alvrM,(a lfjNT-YM CREMA90N IS AH IRRWE0.31EILE qN° FINPL PROCESS. creedeom'�a nMNm mn nv medrm me reeda�m°reds settee sea me metaeerdwlapm Ilea rwrwlne ml•a wrRgpe enamperwwe nev are mpieuea m immpe Iwa1 ana name. me ne.1 ana mm.wlll hmn.ra.Mw°mr.am.awymme•ac.Pl pane see mml, wmm a.e.n Ina well x l.n ex..•sedate. F•u•.ns Daemon.Ins oemalnry an lax.rea.•nama aeons w ramp.a au of lee,sedans am omo-ma��a Imm Ins eremanm clnamper. pmeomalnnimal sus ana r•eiaue wed ll4ary pe tan eanina. meoemelnryvsua Ina remain Mm memwmrel ana te,e�Rn melenal an oe eamaeedmr "Mete iwamlm ane mrNgn eddeaa lmm puwen[etl�mR eedal plmm ana mmea mro a aesymaee mnreimr•r°m cwr.hre0n.te�el reiarar�M w�remane win pe nwanenmoy ngl.rmgm.m re ecognl:apl. .a aka.al g..Ihe. r w WlmMma seed nR rn.aremaw v°Wnm.mnldemn•iaingtre°nawnarea named remahamnmum Nrmeomnme earth ap to melded the iaenuly olN tlecaceam0w l•meun Palmmaienal¢eefJnem wnlcn edgedinlureamplayes nrmmegetteCrmaleopmarI. Ir numan nmalna an dello2retl in a eonhlMrwnlcM1 Ia nod sulMple I•rmemalbn sucM1 as ummonial or ends carrot,are mMMMrorine lraRrtillertw~mnoval MlremsriaµAll be ecmotlu[le]pa(peaxl�maa�en4 m,Il pe Mpnethea In miss, The opening of EHTF CAT pN pF g^M and m•CecL NI of pxsaaea', Barbara Hall memasteMa: widowed Lazllanoan gameae: 10388 State Rte. 149. Fort Ann, NY. 12827 maewoaam: Same a3 above and ❑M EYF Ape: 87 Y> 02/25/1933 the,Or Dean: 0]/1]/2020 EWneIM WeMM: %LAO OmalplwnmuakwmnanrmrtPm rwlryrcwn pdNMved Florence Casket Co. wood, wood composite base cardboard top P ROON NF r�� (✓e/soMSJ 6dmd pcsilion,rmtial w+Em Melmbwir� I m dve em the desteved agent Of as dor epee designated N a as or wmlenlreVMreM eneylM pumeanl l•for, NBtlln Lea,�4201. PR- ®11 IWO have no MWaSaa the the decemei executed a"then ImWmm1 Wlalwne IN WNIC HeArd Lew Smb..n 4So1 or a $e'non1Ga11gmmnskermorthe ispoMi,Offer mher ffrmher lmerremmn Ime am dMe had JORd M1narn;prinbunder WNic III tare, rolbw: WOm nlellawhlpbtM Nested is e• Barbara Hall COS18Paf(Rn.py13) Pace 1 ola Authorization for Cremation antl Disposition pn¢en rvdn me aueanp Maee,:�' 11.mdedn: sO.y r. Tbpe'~4 oO Bno,In me plaauand b Pubse MOM im,Seats 4361i]): L. The OU"Ar PaMu¢ i M M neat rand ye a MY varying gunip eigMeai year¢darm or days. S. A surviving aibllnL 6. Al Malay apwnlel g,aW[a ¢g¢of ye w side,, T' AMperaaodmp'lleNuoNl n,d a A cMy hmefraud ageupary an Me MO M,or MaemhleeroaMre In the came and am'"in ao¢BSI n'N 'On¢Mp Is Na MacN¢M: 1a8. AaNe lneMo-yeyyex{p low eagcad 0 aided sWMmml pursuant W Pudk H®Im Lax Se nypll]i: ` MY Whar Mason vicab ief MOM mom d a COUMY or a public eemimi appaioard Turn want W Me Sumpab'¢LburlFrectivo qcG LW Mom ltAt Is xYy on pMgIIXNe exNgee and MoIma oxeculMavnM1M¢lakmerl NM [WPUN H"M (M ar AU T+HRFF NMa/Nechane ® �IAYe Mreby gum Met lie may or Me eaceNN tlow rW rgMan a Cai bales part' aµpc¢II.2WNyly Imglgrl an hernmende Meson and that dry suA male�iakhvae removty pyrollre areMFr of yy¢AumMyLbn Form. Ftllure to reed, rMN{{I..IMMd/a placid cmmmtMn may result In harm W Me cnm "antl cmna Nreonnal ®�•..e alMm trial inglu false allied Mind BruCE K. Mason, 12261 r02arMW911ranetnews decry garsoral yomary MOmar pinpM Man,anidh any Person selling loan,or any larders aMe Memme wmeas W allo'.e. _ pru E V' EU is rM Ma side far the mean,Of personal Items hoe Me mNtinero"camulrfran Ne remarc ad the aecmvi par¢MyIIWm.Mhln the [mMamr or,lm Me moem xall he shstroed by ma pMn m Pmwss and cannotG nWewa afem cram allon, © Ave homy aem ne Prr1E J"EU de W ro eremele IN mean,a me eeeN¢dd. "'ALn8Pn5Tn The Mason m me W reraws the measure remain Gale de Wcell Me panduy k: Name: Bruce K. Mason Andras. PO. Box 277a Fort Ann NY 12827 Plane: 518-639-5252 The laymbetl ra an¢dM Mo911»a¢onea aNrakq: Return to family 11 ru dry reads Mn piton name stood aCN na mFe msmgbn a Ne aeweM rmeirs. 7N6Ji E0 k eurmNaroare Td¢¢N¢nmd has rmainsW Mason FUTeraOme rAm.x.mre.y My ealwry M VMadnaWmpa>e mar. Barbara Rail GQ418S].flRay. owls) m»xMo..d Papa 2 of 3 Authorization for Cremation and Disposition rmmaM y e bnneemnn Mal n the Kmtirso we rvM elYniM"Man nations a omaebbn PiNGV'EJ may m¢pnemmammai,wM an nminereq.meiner.a=n an by.¢ene.ns. fWE ovOam a rorowrnx� um lo�ueen aseccnlsiMrlor Meuemaln remaMs nm been puwna¢oi lrwn Mason Funeral Home an is nscnesa as creasy 9O</O N6PR✓ —L 6.VT!/O LOE9 WIe UMexbnd"'if My vn 18 ko amyl b MW 0e aiOa Cremation mmgii¢,an Mtlilkn9 ism"Winer may be ipM an ptlrypy, _Munle Myel gxtlmaE. Me uubr¢IaM Mel tiro um 6µrW¢e]ardMmMae OmvWM �zM.e Vy E�Ja wilgxe uecremalM remyn¢in s rlJln Igrµ ery rcnlynory ntlWery Tnu AU aumr Folmms¢p n W Bruce K. Maenn taw eraxuwl 1 fit ,w wepnen at Macon Pm In 9v zoistSwF.�t a82 and u snnan a this mmeml tine tsw as wonder M Its a.muon. Me bare revlveY a¢mplelM¢pv IN Mla AWM1dhafbn Form, The Wersous)IJenn d Lelow Woe IM patients)In cannot N nlapoailiory who by staining IM a AmhmaeWn Form, allerms) to the aeenrary and ornamentals aIM InMmalbn oonNM In Nis Annuitants,Form and aoWtlmla)the imagers. Named Wa iBt%aya July .2020 •GL �' J•)a boy /3lPNarrey mi' DWO FaRTa /aP17 wm+Faa: Bruce A. MasanWaW s/f, p� Ira.sausarnv.Bruce • 'Bfi1 Barbara Hall aM/ W V DOS-180 fire,, 06'15) pep 3ot