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Croop, Helen B. (2) Pine View Cemetery & Crematorium Quaker Road Queensbury, NY 12804 (518) 745-4477 or (518) 745.4476 FUNERAL HOME: —. .Mf9s#D�}ZE - -__ RETURNTIME DATE A TIME REMAINS ARRIVED AT CREMATORY: ku 2 Mn NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAINS:; �I NAME: .___. __ - _�IF1EA7 f 913 TYPE OF CONTAINER: }LIEMI L�� PLACE OF OIFTH: .__Zl_((�yq�_�LI'K_.._�___ . __... ESTIMATED WEIGHT OF REMAINS 8 CONTAININ ER PLACED IN HOLD: PLACED IN REFRIGERATION: zjb'(' Ph DATE OF CREMATION: _ r)S 4 TIME STARTED: —_— )O; IW4M —T,ME COMPLE D:TE fit ' HOI I I PLACED IN RETORT: Ip' ",Spee RETORT A IN WHICH REMAINS WERE CREMATED: _ DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED 48 HOURS FROM TIME OF ACCEPTED DELIVERY: NOTE: THE CREMATION L0G SHALL BE RETAINED IN THE PERMANENT FILE DP THE DRIMArORY �EWYORN pIVI510110t p oep.^m�w whn.� Poland CemeteriesR Wardwell Arnica are, or DIFFel Authonzation for Cremation and Drspositron ee Tom AIMo "WI Fen meet pa complewe and signed Foods to OKwN of remains MY emnvpn. Dae.. mmsnom aim r $13 cmmnpn Nvm.. w cmm.m Anbess. a' owxereem.ouennWrv. NY lw y ecLa PMN. (Sell 7454477 PEMATION IS AN IRREVERSIBLE A FINAL NAS VROCESS YOMYYFII n am IF leading Merem nNgew dlne�re ^a250N e0 Fin MA eni eat and Race ncmnaba a me aeerylnppsztb bone and ma cM1 am aIq she had don cmmaged, n m Fod"i oemerand Me cmmakn ad We eesonYW deck to rered all of IN,rm.ams=other madenal hoc the W Me where Fuel bit 9=0 mmlmal dust am ma ue.el nxep eelm bad of The awn+m rep.reN�wmetwlnna roreyn meww hem Find the dmi end mreia^ mneml nu W drtpmN of vs repwm^wo Nwi ate,mconel r and munart t muh Man Imader fragment of Praly laces and am emeld U...poi into a eew wMamrorurn remv dmma a go ...ly ae puheh unotro OFFENNING OF The CONTAINERThm�MU may any pas, Low hhoo,i sharing in,Ill,whood no,,,weres,some, clundown, or to arl that no ,mi,leepromany In m aMN"i' n1Mm ma hash 'It 1idod,inconsonance s xn aenmem anteees el,Do lM mdai r transfer el M mums M�I de wWuchad We Ma Who m1 will No to done In Iai ar<m�of p�ncp who dgniry IDENTIFICATIONORDECF xeme of Eardameach rem, a.creep adal wideal tazntmwn Mdmsa: Of tugrrvw]ome Snna3a Spnrps,NY 12M stare OF Dean IS Wgmod ease model Spal NY 12M se, 0a © F Ag.: 98 coo 08/1811923 m m asmvmza lneem.l5- Dearda.gall of aelwrcpm.�n>m whipn rmane:o pe Mumma oar Ix. _ �e Cardboard Boxw6Nooden Base 6" LrOS/ eeRNax E_'�. tP�ntm wcmfMermm<mn,.�oxE erte.aro.mpl sxamlMM¢Ipraled z�.nl orlMde¢veedesle^+I.a iearouo.vnillvn lnwmntenemMpunueMwPWlr lc,n 1201zol m knwkdpe utl Me Masser e,mb6 a n�A Natmnent tyrtuenl to P uplx Ne4M law der 4201 or As cal ens for Me Succeed of or Mrtemana arpyw...Me peaenu ungAmm um Pen, eel have VW It' f Sri told al 201 �ro tM Fight to War eex ammMion of the hill er NO dq,l r w hfp m me 4c..a"Aav followsHelen B. Creep i leF rw UJSFEW 1(Re, W20) Page I of 3 Au[horiration for Cremation and Disposition pm.drmmm.to.ddkv ba„c.t= aatroupn: Mary vpn@mmwd) n p.wn dst@mtm In Mang wlmanvn PUN Ilm c eu hP,setuon Rmm: z. ma.amr.t spnm, m5+emwy domaua winner: S My Pa uarYn aram na .Ilxn yeaR of a2ewdhr wnl9 ShArg. N Alm a��plvrn yea�solage or ppv. m"am 1. At (x)epM,cween of afe or Other engkEbSham In npesble eN Woo�ipre tlote9ln mlalmn¢kpypw Jarmsei 11 P Santt ryptidOF ftlucbryol Neeela'x. 10 purse Poland edatiaa Morons necweJawnnt 113 Who Strelf ememalOuFURH to Ploomban I ra Neeryntaw Ceaan40n1(q ISaa. 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Pary St Franms CemYny. B53s Nrn St *o,ryFm.CT 0191 n M any Patient nb pnm Santa Shwa din M 4yte po m W HIS oyr$M tnffud. Ferry there m°hro'atory 10 dadbger, IF IM.am ,to Conpnimab FwpY unt Pro oYdexary embefor d p. w by re@Nmred men fan 6 0mcf, m•thm W 1N f(Now W20) Frye 2 of Authorization for Cremation and Disposition amza]me famrepy �� llmrstaM,nx If dm remmns are nN dam Mnln 120 days of comAun. Way vaw cdma _ may awaae n areellna 11 an mawaso ,manner. vaT as ay scallsng re uarep GFUMMTWI COX RN LQy ONE OIOre Nlbrrvgl X um to be uN as a canWre,as Ns vanaadromams lad han WfChaud scan aM vdevnxa azbWMa L��VyyI//WareuMMaltlM ameba mMlbMd tleenpn uematW remau.ana]aYwnal ngq¢nulnw meY de uses Mrde�rery. n�+� M om u M ympuetlaae�M1k Wow n a m w o mroaxtl oe m f,r emvidM a-TT__II IIVV wll pareme uemated mnalna in a dga mmpwmry Omslnmf"W,"ry m WIS PuMwUeml FOM wa prpvwa 0y Famed,G. Xwg xaz arncob of CmmpaaaionM Nonni Caro. Inc VR MW A" Wastage afaings NY ladM* I... and is Signed by Me NneN ema lro as vipaee b of Imes bon Oak, awn added Cody of tea:,A pMmhNbn Form They nenMlldmltrna Wam iNare Wre pmankl M coma of dibmMn.Mm by atgnamp bX ammmemn Farm,avmte) b we madada d emmptaraee n n den comfl ns eyeaMorh+tlu+Ferns dead aumermol)d+fo ro wXy d W" .- an say ofan "°9�' su�— _. .. - 41 Q,aw Q. 599,C)Road a nmumrebn CO aords "" NVIDS Xelnsr Bomx Cmap DOSram4VWIv 0420, FAYINI