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Gidwani, Bhagwan T'iue V1ew Cemetery $ Crematorium Quaker Road Queeasbury, NY 12804 (518) 745-4477 or (518) 745.4476 FUNERAL HOME: 6"�~1f C:�- RETURN TIME DATE 8 TIME REMAINS ARRIVED AT CREMATORY; NAME OF FUNERAL DIRECT/OR OR REGRISTpREO RESIDENT DELIVERING RIMgINS: D. __.._. IPo yip NAME BAH S Y(SLYa _..__. � /� ,1 ■ � 1 �.� ��GAEEp / TYPE OF CONTAINER ; r "�^✓L.✓1PCy�l�P.J PLACE OF DEATH: I1_L I C --- --- ESTIMATED WEIGHT OF REMAINS & CONTAINER_ /7$ PLACED IN HOLD: 4/9 PLACED IN REFRIGERATION; DATE OF CREMATION- TIME STARTED; COMPLETED: (� PLACED IN RETORT: --..-...... ___MOVED: IO7y— RETORT A IN WHICH REMAINS WERE CREMATED. DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED THAN p8 HOURS FROM TIME OF ACCEPTED DELIVERY: NOTE: THE Cwempi:ON LOG SHALL BE RETAINED IN THE PERMANENT FILL OF THE CREMATORY Novel •ors.w Na�W PORK Division of glvl* NOFNEMETFRIE, oI NorCEM CEMETERIES One 11 " "" Cemeteries °�,^,°° ^re Thin ,, tm u4na .,a Authorization for Cremation and Disposition This AnMw2: nForm must McomplaW a"will prlorma[ellvary of remains ro,Cm "On. Date: LL11,2@g Number Crem=o Name: Plm Yiew Crematory Ameam 21 Quaker Read, Culture ury,NY 128M pb (518) 705J471 CREM nth 13 AN IMR RSIBI AND FINAL PROCEM. Orematlon is canted out oy plaung the remains of they aemmea are tM consumer bolding the remains into a urination chamber where they am coherent mlnmme heal and home. The Mat and flame will mclnene and across,everything sac Wine and maul. "khan all IMt wll I Ca kR tlmr c nmaon. Follonirg cremation, Me co matwyvnll Me reasonable¢berm to remove all of the rem einsand other material haven me until chamber, but some minimal dareand marque will fkHy M Iehbani TMuematory will m¢eraM ireemintal are Nmgn maternal Mm Meremainsand Neinad landlwnmamiwillhedep ofasr "rmby law. TM cremaM Mnairevnll be mealaniWlry pulvenaed into Small peed and placed trey designs wnbirmu Led Cmmabdmmino BanallyarepulveM uMino single fragment Is raCognual as skelaMl ma nam OPENING OF THE CONTAINER The commonly may only[cen the wmHiMr haling Me whaemated human ramaim In limited awmMenma, such as to corm Me idau MMe decommd or to ensure net nor material Is will mat,might all empbywa or damage the crematory properly. If human remains a m dal bared In a con=lr which Is MA suMi for cremation such Am"sonlal or m M I ueki Me wmnaloey Mll mwMih.t Ma nm.lm be mowtl Into a auhbl.aonlam.r Mlon naxapM1 Na mmams. Interconnects Mtner of the transfer or removal of remMres wll bemnducal More a wileds and veil M done in dinrecy,who Small And related IDENTIFICATION OF DECE $E0 Name of Ndd BMgwan GiWani MaidalSMtln: Last Heonn Mdre+a'. 17 We tame. Saradim Sp ,W 13635 pledol Comm 17 GMc fare, Saratoga Samoa.NY 12SS9 Se.. ©M ❑F Agar OAR: 11/11/1923 g dDeem: 0e01rzo20 Eadm.md wegm. i�S DrSaoon of ws VwnW,nw in witIrh twrmim all he tbliwnd. Cardboard Box wNOooden Base PERSON IN CONTROL OF OIBPOBRKK (PorN' t(s)In cmhd ofNrpe rMust ONE ofMrs bYMrpf ameft are the designated agent of me defendant sV^ In a all ormussarmabLment obtainedpunuanl to Puolic "NMw La9 on 4201 ..Cf SL— IMk have no knoHel]¢mat g¢demasad eNtulee a wrilMn matNmena putsusR to Public Health Law Section 4201 or a vdn Conumi,g diredlons for the corrosion of has orb mmem and IMe Me M panmlM having priatN under Puaic Health Law sembn azo, era pare they deal m ambeme nemabw mina remains ofine ae®amd. MOoar relaMomhlp mud a..a.aa I. eye M Bhagwan Gidwani OOHISSMItR , We) Page 1 &3 Authorization for Cremation and Disposition (insmfhahm kn2 ) Number 3 poscr om: Sacnel GN nl(San) 1. Ammon desgnaNE In among oursuant to Public Heats bw 5 0201 1. The survving spouse; L. The suMVNg domestic coMep 1 My surviving spin egMwn years at age or older A Asaii parent, I. A surviving sibling eghe "am of age Or olden; B. A hwlully appolnb]guardian; 1. Any person(s)eighteen yams of age Or caerentitl1 Up Mare in Me estate and cuts iwara do t in relationship to W deTasell B. Aduly appcir kUuG of 00 e& ; 9. Adoea friend or relative who has evc[utod a written slab Wnueot to Pudln Heats Law Section 41 10, A Met RSal ottirer M B County or a public administrator arts'nbd pursuant to No Sumpab'e Owp Pm mPtll Tiger Autry other Jerson who is acting on Must WW deWerd and Me has executed a wrllkn Me tmrsumt to PldiCH M Law SBmon 42(1 deal ALL 1i to Me Nfor in9l Mae Mreby arm that W It of de demaub Cars out Contsn a battery,battery pack, parer call, rMoadive implant Of radiwctive Wru add MY any auM manni were removal prior told menton ofthis AUonae Fpm. Failurebmnove Mew Means pdormcremallon may result In harm W the[Mmtory and cnmatary Mmwnel. Who affirm Met in5W sNaa Orion grown In Rol GGb. Man www"wreTTT ggaamn ig Me removal of any personal Mail or other Meng of were Mkh any paMM"i below or am lamiy mail W Me dewamd wi& BA preune. Pile New cremalory is Cut roponybb far ter nmov ll otcelsmal items ham W wnurterar M1om Me rematm of Me demesel. PBmonal Mina lsRm Me c�omme�nsrorwM Me mmaint Mll be mMspwd"Me aremanan pr[ s and cannotbe leblaved after umma0on. Me hereq authorize Pimuww Cnmamry 1.j to coma*Me remains ofthe deCM . (MMI& OWIONAL) Any M1enby aathoram the named fumnl direttarb provlde for delivery to and mmMon by an alnmOe Mabry. ill deemed necessary M Me opinion of Me lumnl dlmWr.and b amend MN loam to prwNe Me comd memo and addma of Ruch elbmsb cremabry. FINAL DISPOSRIOH The g auMmxed b resew Me :Nmmm remain of MB dBWB hdn Ma ate qA Nam: compassmnate Funeral an Address: aw Ii Ava.. Saramga Shnni NY OEM Name Sideradopud The mmated rerne r of berease l cum be disposed a ate allows s Retum TO Ferry Iffor em Damon May loran named above does nM LM poswsalon 0 Me Comets r 8Ms, Pine Vne Crematory peoMo by g'y possession of the remains to m.�.mrre�r CompMtimeb Funwl Cwa lrc bybllvery In Carson or by regaNred mail. BhpwM Gtrxni DOS-18w-t(Rev. mi mNe Pepe 2 M3 I Authorization for Cremation and Disposition (AM"mdaomy 4 lMb w aertdM that tlIM KmYne are not claBnom wearyl OW dman 00n, PIMVIeucmmamry may OipMOtNBmmainln an mnewwele manrer, Ron as by Raymond w*euc..wn CREM MM COMAIRENGRN @pyd(QVE a May mmwmel M con b[e uwa Via Wnbinerb V9 vmnate !nomtiw hi been putl1a89E Yen aM u�Med ae mk IAVB unEmaterM Met it the only is ma,mail MAO Me solos immense seemed,an addewal rgM Remains may be weal b Odyssey AR- An not is net yed purchased! Ii understand and no who u pmchamd or oNemuB PrmWBE Pine View Crommentry, wil paw me wmaW maintains in rmos.+w-+ns+51 a held examines combiner mr sellers This AutlNrYNen Form cow provided by Roland G. HOW w89emamdM Com essinate Funnel Care, Inch a03 Mmb A" SBretopa 5pnnge NY 12M osse. and is agency by the Nmml EiRGbr aswdnew asas eaecuKn NNe hews rereiw a a completed copy of this AUMaXaadon For. Them penman)Idenalhtl Mine,Islam Me wmon(C)In cannot d llspwMon,may by staining MIa AUMoeram,Foma as get W Me ewuracy and camephimmwe ofMe Inbwmatlon coMlned In MY A dd wlri Form and numerical Ma(an9Wn9. Mened this 219 day Awud .2030�a Settled GdxKi T 19 LiIK LYn, Snatega Spots. NY IIPB9 WNHEmis mervmrwme � Rolland G. Hoag mamas mew B fission obtain WS-INNI(Rain OMRe) Pga3dJ