Rabine, Geraldine N. Pine View Cemetery 8, Crematorium
Quaker Road
Q ueens bury, NY 12804
(Sle) 745-4477 or (518) 745-4476
FUNERAL NOME; _
DATE A TIME - - -- "'-- - RETURN TIME:
qE MAINS ARRIVED AT CRFMATURY;
HgMF OF FUNFq AL OIRCCTOR OR RCGR SrCREO
RESIOENT OELI"FIND REMAINS:
NAME: - P_EJitIQJ!F,.-_
_ _ �RalD1�1E RReruE —
---
TYPEOFCONTAINER p /� � //� -'.CASED J63
PLACE OF OEgTM;
ESTIMATED WEIGHT OF REMAINS CONTq NCR
PLACED IN HOLD:
PLACED IN REFRIGERATION -
DATE OF CREMATION
TIME STARTED:
Sao
mE PLACED IN RETORT co L E --
....___-b' � Al -1-1RETORTnI MOVED: -.it;�-�EPI��-j
y REASON
R EMAI N S WE RE C REMATE D. p
DETAILED REASON FO —'._.L4}jL_R OELgY6NFMgINS wRRe GRID
FROM TIME OF ACCEPTED DELIVERY MORE THAN qE HOURS
NOTE. THECHIEMATKIN LOG SHALL ... _-.
°swmm.m or Sure
NEW PORK Division of DMM1 OF NmMMRIIM
°pOne
°P° "`BNM Cemeteries Wallington
nawmt
eeP ..':Ominous y
aanym+
Authoriution for Cremation and Disposition
They anM =Wn Farm must Gan eompN and signed prier W delivery of manwlm Mr Immediate.
Dats: 09/17/2020 Nu mar: 1037
Lnmatpy NanM:Pine View CRTffiVrl°T
Musical Quaker Road, Queensbury NY 128od Pleam (518) 1d5-0417
CREMATION 18 AN IRREVERSIBLE AND FINAL PROCESS.
cremation is mmM col by plating the remains of Me Downward and IM Norma r holding the mmeins I=a memaWn Nambr wham
mryare wbjecredmIntense neat and name. The Mat and Bime will Industries and eamums ever ift inapt boom and mSN1,
which am an nrut win M left FMr cremation.
Following annua .Me crematory inn take rea eriede eflMe ro mmaM all of the remains SO buyer mamm l rcdntM Panamanian
GamM[ but same minimal dust and rasNm WII IiMly be IM behind. The Uematcry fail separate indtleMJl and famign rmtenal from
1M mmams and ue Intldenlal and foreign mammal wll M disoeM ores Pool bylaw TM cremated mmamswill M me"nimlty
puNenWimp small gems and placed into a tl ignatnatl moral or um. Cmm mmeins aemmly am puked uMl no
single hapmaM is rmognisame be eheN lVmm.
OPENING OF THE CONTAINER
TM crematory may only open the Perform holding MAY uncremakd human mmams In limited tiwmamntts, Eucn es lomrmfirmnw
identity Of the seasonal or to ensure Mal no Intel aMloaed MmiU might Iryure employees or damage the vmMtpy proPortLX
human mmamsam delivered In a initial which k mill suluble for cm Lion a uch as wmmonln or mom mekK the
reMtmy will rpuM area Me r im Mmed choose! Into a suMNecontainer Mbn X accepts g the remains. The emrp of
wntamer or the harnrer or mmwal of refrains will be conducted before a whness and Art M done in pnvary,wrn dignM and mspecl.
DEMIFICATION OF OECEASED
Namna a Me amd: Geraldine N Rabire Manul sea s WWtl d
Lit Known AedresaJ6 Staple Street, Glens Falls , NY 12801
Plane br Deed,Glens Falls Hospital, 100 Park Street Glens Fells, NY 12R01
Bea, OM 19F Me: 89 LIDS, 10/08/1950 Wtam1WM: OWIM020 Eeumatebwcght. Q5
MCGip4on of makMmntakwr in which remains will be tleliw .
euRelo Casket Co—Alt Container
PERSON INCOMROL OF°ISPO MN
(fbramf9 fn conlM ddim . add'gf Ol of Me klbnwntl
I am,Ws am MeArrangement!agent of Me demmM designedd 'n a will orvmlkn NMnmeM emcAd pureuaM W Public
HmM Law Se lion 4201.
41
0we nave no knoMedge that Me dexased executed a much ire meM Summary to Public annh raw SMio 4201 Ore
rg dlrM onalm Me distinction of his Or her remains and IM writhe pensoms)W,N pnmby under Public N fth Law
S 4201 and nave the high to auNohiie cremation of the remaim of the decreased. MylOurmianshlpWMGr 0"ad4
No s:
Gereltll seem
INRabine
008-18%f(Rm.04R0) Page 1013
Authorization for Cremation and Disposition
forward 6wn the gar prowl
Number. 3 DwwnpMn:CM1ild over the ewe of 15
1. Aperson besignaM In Wang pusuaMm Public Heats lax Sunday 421
2. The suMNng spi
U. The suMving domestic paMer.
6. My suMNng she eighteen years of pee or order.
L Asurdving parent
6. A summing sibling eihi years Of age a hoar
& Alaaffri appointed Plamien;
T. Am graon(a1 eighteen yun Of age or olds wi b Share in the estate and who dmptiy relationship m the decreased,
& A duly apgini fiduoary of Me asmle:
g. A close Mend or relative who has accused a wnRen statement ou ri to Public Heats taw Season 4201iT),
10. Achief haul officer h a county or a public adminiwalp appalled pursuant to the liberal 9 Coved Procedure Aq:
10s. Arty other green who is easing On beheXIN the deceased and who has eaecNM a anted ebbmeh pursuant m Pubic Heats
Law 5eaiu aml(7).
➢IR£E wma following)
IMb hereby affirm that Me body ofth r a6c6egd time par contain a badly, battery petit, Power Pat, ra houli Implant.
mraimdlue di and that any such marenalsware numidad plKKmMe eucuson os Mis AUMuhsrmn Form. F.Ilnnm WnW S
11tw PrlormcmmNnmymukin MmrmlMcn Mn andcrsgtmypemanmh.
IM4 affirm that marmot days been giento Mark DeSinforre
regeNiry the removal W ant graMY propeM or Other thing hrelre which any grsM 819diN below or any family member OF the
dememd aunts by pmmme. Pine View Crematorium
ierM reep[nside der Meramoval plgRp161Mmahcm lM unleinerarhom the mmeinsMMe demesM. Persona111ene lNlln Ma
tlI mWNlM nmsNS WIIpaNtlOyea by Me emmsem prodese end unMMrNnaved eRercremation.
hM'a Mreby au e Pine View CrBTatorium
� r
M cr.mm May roam W Me e.rama.
Ifmyw ovTaNay
LMB Mreby aueroMe the named mmral dlreclm m provide der delivery NO and transition by an alternate
nmMry, if dom n ed necessary In Me opinion of the shadow. tom l alrycW and ae m nd MIs mr to provlas Me correct nam
e and
.earns Ofsuch alternate credatory,
FINAL USMSMION
The greMt ahhodud to receive Me arrested remain OF the demiased Man the crematory is
Name:Tia Schiavone
Adbren'. 75 Feeder Gam Rd, So. Glaro Fells, NV 1284) - phone. (518)ff &fg 8
The cremabd rxmins of dxeaW Wn be diapoaM of as mlwxa:
Burial at Evergreen Cemetery, lake George, W I NW
H H wry rewn tle psebn mmtl above hen nh mice poaemsia al Me oemebi remeyu.
Pine Yew Cremaorium by auuenmd m®aepmuWq of
roan.a.n
denmeimm RagWan DennYStwloltl Furteral Home my ahNey
In wren or by egi rose. Geraldine N Rabine
NS�1PBBd(Rev.but call of
Authorization for Cremation and Disposition
Barer
style unEerabM NMi11Fe rememe are fM tlaimeE vA1Mn 1N1days,MIXBrreHon.
Pine View Cramatwium Maydmme nine remains in
pa.wno...e
an irrMevapN member pail,ea by wXerinp.
CBEeAT CONTMNEMM
flagged ONE off'?maka 9l
Hagen Denny Stel Funeral
M um b M uuE eaeconWner M ne cmnelM remeine Fee been purOusM M1om e
eM is M%ri are ub
/I-0W/{yteu[rM\�1ersruld tlW if this lath ire loo small to hoN Me seems oemabd Means, an additional held Whether may be i aMb Eshwerf
/'I/IJ�Y MumwrW ant WrWasM. INie urMarWtlnalNm um is WrcNaN oroenrwoe ponded
r Ping View Crematunum will theme May cramted remaine in
a rgN tnmm�ry mmeirier for dNrvery
tilts AutlwrizNon Form was pmrbed by Mork J. D imarre was sometimes
vmw`v Miami
Regan Denny Stafford Funeral Hone
53 Quaker Road, Dueenabury, NY 12804
�
aN is signed by the names director are wlrreas tone e:ei
i nave maylved a Wmpleed Why or this AunMaaunn Form.
The personal Identified Wi lease the penonlal in mmrol or d6Waltlon, who by signing this Au&MzaMn Form, small
To Me accuracy eM sample or iM InfomalOnCwrbrnad In this AmhWal Tom aM euMOrW191 the foregoing.
grened Mb 17M Mayor Saplembar ,p 20
This Sdblavdnl 75 Feeder
ee r
95 Fer Dem Rd, So. Glerrc Fells, NV 12303-
Am—
yeacissimmi
Wlrx®s: i
Mark J. OeSimme
w�+u.m.+wse..er.y
1081E
Geraldine N Rabine
w—sesy
D0.4tB83tl1tw.OarN) Papa 3 03