Durkee, Warren Edward Plne View Cemetery $ Crematorium
QueequekeT Road
(5 8 7 nsburY, NY 12804
45-4477 or (518) 745-4478
FUNERAL HOME:
DATE a TIME - - r _ RETURN TIME.
REMAINS gRfl VEU AT ORE MATOfl Y:
NAME OF FUN
ERAL DIgg GTOq OR REGRBTERED RESIDENT OELIVERIryO
__. -.S9R9)l.._._A✓IClO_ REMAINS:
NAME.
TYPE OF CONTAINER h II1 -ASE ry
PLACE OF OEgTN: L T
-____ iAREY�E
EanMAren _._._.
eLCM
WLD.
PLACED IN NOLO: 8 T OF REMAINS
CONTAINER
PLACED IN _...�-._..-
RCFRIGENgTION
P�DATE OF CREMATION: _ is
_
TIME STARTED. �41fSIM
PLACED IN RETORT: �-(s�h TImE CoRLCTCO. --�
RETORT gIry WHICH REMAINS WERE CREMATED-
DETAILED REASON FOR DELAY OF -� -- �- - - —��REMAINS WERE
FROM TIME OF ACCEPTED DELIVERY. ED MORE TMq
TOAN48
CREMATED NVB MOORS
NOTE THE nempilOx tO - - - __
3 N[ ne 41 x1xE IENmnx IN IH.' " TNECIUMAOpv
KEWYORK I Division of D.P. o; w
STATEOf OMS OF CEMETERIES
OPPoRNHT'. Cemeteries by WaiAi
AloweeNY1223nCirn
TNepru e.Cylm Cra
Authorization for Cremation and Disposition
This AUMmMyyw Farm must IN w plI and e1pnW glyk WX'xy olrwlMM for m Hon.
Data. 09117/1 Numadr: �6 3
Carl Neme:PlrM Mew Crematorium
A mss.51 Quaker Roast Queensbury NY 12804 Phone: (518)7dVi
CREMATION I8 AN IRRF MIXLE AND FINAL PROCESS.
Cremelpn iscomN old by pkdnq Mer oil of the demea%and Me romainer homing Me remade into a uema chamberwMn
IMy are subjected to intense Mtl and Palms TM May and Films will mean@ aMComumew MgsasOp eandnkkl,
whkh an all that will M Na altar cnmstlon.
Fdlecar cremeMn, the crematory all take reasonable all to remote all o1 they remains and Other mall seem Me cremation
Chamber bid some minimal dust and real mil likely Ee left MMnd TM uemelpy vn115eparN¢ 'mcidenNlSnd IWBgn maknel hpn
Me remains and the aleds Into mall
iblame
and
dandeIa and iinntt omaa ltleeM l wi n M CmosMgoiHnedr aof uum
single NapMM is amalgamate as aNh uuB, r.eaCurixrenda bWy l anwm. malreu¢gmemnaaptWll yM eena niWe Nwainr YMa mm uenCtlMl nniaml
y
OPFH XO OF THE CONTAINER
The memakry may only open the container holding Me unaremate t human remeim In limbed circumstances, such as to confirm the
M ity oftM cewaxd or to ensure Mat no maternal is endOsed which m olhi njure employees or damage the cemaory penalty. X
human remains am delivered Ina ConXlnerwTkh N not suitable for cremation such as ceremonial of rental calker,the
chreniftry will repuim Mat Me remains M Mall Ink a suitable container before N makers Me remains. The openirg of a
MntaNer or Me thriller or removal d mmeins snit MwWuded Before a wMess anm will M dots in pnvery, w11F tlignily enm rMpad,
IDENTIFICATION NOF DEC ED
Name OF Deceased.Warren Edward! Durkee Memel elaNs: Marred
Last Known AGdrees:10 Park Piece, Queansbury, NY 12804
owed Deem.Washington Center, 4573 State Route 40, Argyle, NY 12800
sec ® M OF Age: 81 We' 02I03/1939 pekes DUM: Dg/18r2020 EwrwmwalyM�
Dumptim Mc kwmMeirrer in which rwmin all M"mall,
AltemativefTiberboard Conlainer, Matthews Company
1ERXOX MCONTROL OF WO�MON
(Permn(e)MCgdrolo{dayeih�t, ®$ig ONE OIMe/olbwmgl
I emMy are Me dn"W agent of Me mateased desgneletl in a mil or wake IruManem equal pumuem to PWAic
NUXh Lew Ss m14201.
IM1Ye have M knowledge Mal Me dereassd evfol a wherein Imtrument Wnuam 10 Pubic Heats law Sa ion 4201 or
MI Commng dr¢giory tar Me digyHN'gm M he or her remains antl Iowa are Me peMn isI Mving parody under Public Hew N Law
Serem 4mt and have Me fight to auMwiae mearsu n Cl the remains MMe dinosaur Mrrour mletlemkpk the dweesed Of as
Skye.
Warren Edward Durkee
DOS-t¢98-f(Rev. but Page 1 9 3
Authorization for Cremation and Disposition
(MSBRM1pr fr kVb )
Number: p2 p®ciptipl: Sllrsiyirq Swuldne
i.2 AermandeognelWinnrvling Pumuammouch HpMlgrg yon�R%131.
summing soma.
L. The sun,mg dcarmaC partner
L vn MYSunm clod uniform Years M age or Wner',
g parent
5. A sumfrt siding eighteen your d ne orolder'.
& A 4wbI1Y mmaned guarabn:
a. Any pe'roncsl eRmwn rears of age or DMbr enolkd to share In Me estate and who iscre(Rang in r&.1%nenq to MeG small
8. A my sµwnln fiduoary M Me eased;
p. Adone Mend an miet a who has execuum 8 wMhn MIUMMnt pu vied to Pubic Heats Lax Section 0201Q);
10. A Cmd Not oMMr of a Murry or a Publlc administrator national mrsuanl to the Somali s Court Pfox Act
1p. My other mean am,dy aging on behalf of Me deoased and who has emMnd a wnMn statement mmund to Public Heath
Lax se mn 4201171.
(ood ALL THREE of Ma co mpol)
�� I/We Mnby alfum IMI Me Mtly NMe dmaNd tices mtwntain a batery, bBlkry pxF, pmwermll, whandtw implmry
wredpactw mine and that any such materials were narrowed armor m Me eYcutiM M Mi9 AUMwhome Form. Fellun b tanner
Moee��I 8 qbr My vibration may result In harm m the cruMwy and cmmemry era mi.
n% &- lrrve Me"Met inimmienshave Mien given Saraw® wh A. Phik)
rpvUNg Me mmoval ram Fersmnel pgery oroMer Miry olveluawhat any pemm ypnlrp maker Or eny 4mIN Member ollM
avered wines to prerem. Pine View Crematorium
is me ro5pmmide tar Me summit INpeepW items rypm Me Mnteirgr mr hpn Meremansml Madecamed. Fevptel lbnp lM In Mar
on4lnapxiN tlw rgnalne MIIpdasboyetl bymtc ation PacerseM cannot be nmevM Mvrcmmaton.
t9. tine txaby vuMorue Pine View Crematorium
row
to cnnubtlw rmalm INIM decaeetl.
(a�g CP1KNeAlJ '
Mw Mroby,submarine the named formal a loprnitle for centime to and command by an albmvb
Monte match areluctant, N ryB nab ranetYrye 001nian Wtha daMor, aM to emend M6 bmnmpavke Ma corRCl name arW
FINAL 018POSf N
The pdeon authomed to reterye Me o ma Amerns RI Me islowmM from Me G mwM Is:
Name.Regan Denny Stall Furrerd Home Sarah A. PFtto
Awreen.53 Quaker Road. Quaenabury NV 128M Phone. (518) n2-1114
The cremgW remains 0 monsoon will be dissident p d Nyas:
To bmentioned e to Ne family
Near am annular the pram cannot ebore does Me m Ppwagpn d 8e(emaYd mundane,
Pine View Crematorium n Mohamed to gave pwa d
meern Der
Meaenwrum Regan Denary Stanmtl Funeral Home by dewy
In air 4reglgaed men. Warren Ectel Durkee
PawrHowel
Oo5-10w(Say,oY10) Polls 0 3
Authorization for Cremation and Disposition
flatual the mkhmn9)
A_ts . INie untleMgMNpMtln renminsen ml Wimetl MM t2U hys ypivnayen.
Pine View GematoNum meydaWsedNa remainsN
onll 8b6 mender spat as by en dN.
GNFMATION CONTAINERFURIN
(Aft ME aft theme")
M um b be uaetl as a container M ure ueme nmtlns lur been puMeeed has Regan nanny StaROld Funeral
aM is desvmbod as foliows'.
Me urlral m uT XNe um is too small M held that gXin caiNletl mains.an etltlbbrai had MY be uw0 fur delivery.
oR-
3lLMumb�ldyelW�tli n lowB urdeaele�M tlial Mlp umN WnMwJ woMarvneeyoyyytl
An, YW CfBr118fO11U111 x91 PIeW the cmmaled remains In
oswue
B ryitl bmpuYy rrwltair9'Ip E¢IIWry.
TNSAwndadem Fmmwaspmmdw0 Sarah A. Pi was execose at
aw'so
ssaw
Regan Deny Sta sd F �fI 1Mds
ewsesA53 Quaker Road Ouaensbu NY 128(M
and to Npned by tlro Samoan dndor an wargy he as Mai
IM'e have recervM 8 wmdobd CODY M his AUMafMUW Form.
The WngtieiIdeneatl INIM lifts the penond)In Coal of tlNWeblmr, hell by signing MIS AYMwh mFmm,etMtiei W the a[sunry and COMWl r M the Simonelli alntalned in this Augwfoatlon limn add auNonionI Me bnedng.
igmEMb 17111 day of September 20 20
Sarmna Durkee
10 >n
18 Park Place Dueensbury, NY 12804 q /
rl..dm.wx.� w
WRNEW Samh A. Philo i^ 9— ' 9---(D
w 12889
Warren Etlward Drake s
Xal-188gJ(Nev. Mot Page 3d3