Carlsen, Helen Town of Queensbury
Certification of Cremation
Ili" 4 Pine View.Cemetery and Crematory
This certifies that the remains of: Helen Carlsen
were cremated on December , 2 20 20 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death November , 29 20 20 Age 84
(Month) (Day)
Funeral Home Baker Funeral Home Registered No. 1259
ZA/ 2Z,<.
(Authorized Signature)
CARLSEN 6
NAME Age:
Helen Carlsen 84 �,
Lot Owner: Robert/Judy Williams
Linda Everett/Sperry
Lot# Algonquin 84 C Grave# 3
Case: Urn
Died: 1 2/2/2 0 2 0 Interred:5/1 4/2 0 21
Funeral Home: Baker FH
Cemetery: Pine View Cemetery