LaFond, Renee M. Pine View Cemetery & Crematorium
Quaker Road
Queensbury, NY 12804
(518) 745-4477 or (51B) 745-4476
FUNERAL HOME:
AiwANDu' - - -.__._. RETURN TIME:
DATE B TIME REMAINS ARRIVED AT CREMATORY:NAME OF FUNERAL DIRECTOR OR REGRISTEREO RESID_ _ENT DELIVERING REMAINS:
NAME: ,____
TYPE OF CONTAINER:
PLACE OF DEATH: ft�llvw I I ' ( `M
ESTIMATED WEIGHT OF REMAINS & CONTAINER__ S '�
PLACED IN HOLO:
PLACED IN REFRIGERATION: nL.
DATE OF CREMATION;
TIME STARTED: __ ac TIME COMPLETED,
PLACED IN RETORT: L M MOVED:_
flETpRTpIN WHICH REMAINS WERE CRE�MA—TEO: _ <:Ih
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE FROM TIME OF ACCEPTED DELIVERY;
NOTE: Tx¢ cpExgilox LOB SHALL BE RETAINED IN THE PERMANENT FILE or THE CREMATOR
Department Mk8
NEWYORK Division Of MNMwxoFcvdne°;Es
SIATEOF O [n PI
OPPOaNNITC Cemeteries ase.ngmn Awnue
Al r .NY1233140M
leaphono'.ISIBtMa2M
Authorization for Cremation and Disposition
This AU too Wn Farm most day completed and eiMdw1 prior b delivery of remains her cremation.
pate 08/1012020 Hurter. Nj
Crematory Name: Find:VIM CMMMry
Andrew: 21 Quaker Rd., pueensbury NY 12804 pmpma: If 6'M
CREMATION I8 AN IRREVERBIBIE AND ANAL PRMM.
Cremation is comed out by plaurp Ha remains W Me ticemi and Me enhance molding the remWs irMa c emical member whows
Many es,subjected M intense heat and flame. The hM and Flame"I Incinerate add common ev ing each bone aM rr G 1,
wmkh am all Mat will ms XR afar cremation.
Fallowing =e on,tie crematory will take reasonable Mons to remove all M Me remains and Mer mtlinks from Me cremation
cMmbep but some in mmtl dust and residue will likely be lruff behind. The nom my will repeals,counsel Who teeign malemal team
Me remains and Me IncidenUl eM foreign maternal will by,d'uposed draw goal by law. Toe aemaH remains will m metlanl Illy
pulveraed end smell pieces and pared Into a designated container or um. Lmmbtl normal generally am puMraq until an
single hapmM is xapnaable as,9WM lensue.
OPENING OF THE CONTAINER
The comedy may Only open they container holding Me imcremand human remains In limited circumstances.such as to confirm Me
memlty of decreased or to ensure that no maternal is induced when might injure employees or damage Me cemaory property. H
human remains are delivered M a contalmi Is naleulhbXrorcmmstlan such as ceremonial or metal enkA ten
matary will real Mat Ma remains be tumble r moves into a ble canoe Were It acwlm Me remams. Theopeningo1a
mMemeror lee lransrer or lemavel aremeinc vAII be wMuded Mrore a wMess arch will be done in privary, conch drenity and re6ped.
IDENTIFICATION OF OEOEABED
Nana d wuawd'. Renee M. LaFontl Martial Sow: Never Mankind
Last Brown western,'. 81 Saratog aw, ApIC Ballston Sisar NY 12020
pled,0Only Saratoga Hospital, , Saratrga Springs, NY 1101a
Sex: ON IMF Age: 53 DOB: OWSILI987 DatentlyreM; 043U0812020 FaomMd wegd: 135
Dens Oon of conditional in when remains will the Mis ,
Florence Casket Deluxe cremation container
PERSON X CONTROL OF D SPOSITIOX
(P000n(s)in ronhol alduµviY.m,such!ONE d•'no hmxrngl
amMle ale the designated agent of Me de SI dmgmt In a end or wriMm I foWmed account pursuant to Public
HMM Law 5wtlm 0201.
OR
X)L-
Wla have no knoWedge that Me de and executed a wren Inaument Wnuant b Public Heahh Law Swhoh 4201 or
will Noral his dlrx4ens for Me dlsp-alHdn of his or her remains and IMe are Me viewers)having pdeiry,under Pudic Human Law
Solution al eM have the hill authori a cremation of remains ofMa damaged WMur mlalioneMpto Me dwaaab u u
holders:
Renee M. LaFond
DOS 1898-f(Rev. 0620) Page 1 df3
Authorization for Cremation and Disposition
peGrt ban me fiat dawn.)
Number, 4 I%acep on'. $ Parant
1. A Pawn designated In writing fuouaMro sulk Heats law Smadm 01t3k
2. me surviving spore:
am. The surviving dea lc partner.
3. ArrysurvMrg chug eighteen years of or order
a. Aareeing Mrent
S. A survvil sibling eighteen yearn of age or omen
9. AWMully enhanced guardian
T. My panel arms,years Mega or older elNtlad W Shemin the estate ant who ashe CbGet in relYbvhip beds tie W,
S. A duly appciMee fiduciary of the emse
9. Adose Mend a missive who has exeused a made r atemenl pursuant W Public HGgh Lew Section 4201(7r
10. AcmdfiaGl ofver of a county or a publ'w administrator Appeal Punuent to the Surreal Lout Pm More Act,
its. Any dM Per9N who is Acting on didam of tM designed ant"a has exYLYd a woman model purvGm W Pi Heatlh
Law Sealm 4201
ri ALL nffdl or the AltowMt)
IAveherebyaffirmramtMbodydt deGaeetldGsnormtaina Canary. d pack. pmar GLL rWumetwelmplam,
or rWamews davit and Mat any such materials were succeed poor to Me execution of me AUModBe Form. Failure Y mndvA
Mum tral qln to annual may m uch In harm to have comMry and clNl " parsonmi.
eJL Iwo um Nat'ma oom haw been given W David Alexancer
regarding Ye removal Many personal propeRy an other Mira of valor well ant mi ugming seems or any family Member or tin
deceased wishes to preserve. Pine View Crematory
ro.wrrw
is not reswnside terms removal of Gnoml home"in Me wnd imr afiam tM remands oftM deceased. Penoml mnsleftlnthe
ConY�inal DI WM Mm ravvnirn will ba daatroyed by Me cnmNon prdcNe end GnnW be Mriwad aXe!cnmaeon.
Id Me mdi Authorw Pine New Crentrul
Residual
m damage gram ramafna or han deGa W.
Li oPnreri
INn hereby auamrhe the named runenl crrNrono prol her delrvery W and cremation by an aMmaN
rxnel Ndeemed model In me"mean NM N e nen dlrM nd to l or,a emend this room W gvide o arm caratnd na and
.demo w such anerneY crenrtlos.
MNAL MSPo ffloN
Tor much murmurer W drum the mendd hear M Me Awarded them m mandatory is.
Nice.A tic antler-Baker Funeral Home, David Alexander
Amens. 3809 Main Street Warrensburg NV 12885 Prom: (510) 523-2055
Toe mmPotl remMm MdeGae Nwill be assessment W a Roche:
Burial in St Ceira's Cemetery Weeensburg
H tor ant Raada and such model above tloes Met Wks passummon of the Mr demands
Pine New Crematory daunt hegive pmseniona
x
Me rema r be Alexander-Baker Funeral Homo by delrvery
in person or by reginsred del Ronm M. LaFond
IX ,89af(Rev. oarz0l mmr Pi2At3
Authorization for Cremation and Disposition
NBmef Me b'bmingl
IAMB uM¢NBN NBlllp4 remelnaere ndtlalme0 xMln t20 Eayealaem0tion.
Pine UewCremetary mrydlsPawcRMremeinsln
an imarmr.ek manner,such as by scattering. mw""`"r
CRSINATION CONTA1NERIURN
((J((igIONEOIfM kIkwNBf
Alexander-Baker Funeral
An um to be used as a wridirwrfor be vemektl remains has been Wrchaea0 M1om u..�e
and 'a described as Mli
lM/e understand Mrs it Me um is coo aman to how the erNre=e owners,anaddltioiul rga anreM may be end brbllrery.
oR-
An um is net Met puMeW. INh uMenbnd that Nm um is Mounted oroMerwe provided
Pine View Crematory we pew Me crameM owners In
me+ec...m
a rp id temporary container for btlrvery.
This Authorization Forma WvdW by David AlexanhY "a eveated at
Alexander-Baker Funeral Home
3809 Main Street Warrensburg, NV 12885
and is vgned W Me bnml drecbr as ullress m ire execution p�
Me have received a command!copy of Me Adimensatlon Form.
The perepntsl IdamlNd below,Ware Ms person(s) in control of dispensation,who by aiming Mb Auamrmn Form,aeuryal
to the acancy and!completeness W the inbmiadan carMined in thNAUNorOatlon Form and au horitepl Ms bregoin.
6yned Mu 10th days August ,Zp 20
Sandra S. LaFoml
niewivi,ra,wist
4318 Sea Gull Drive, Mania Island, FL 3203
Aawid—
WRNS%:
David Alexander �H
10034
Av"i swain
Rana M. LaFond
Ieww�i
13 -189& (Raw. M m Pie 3d3