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Plumley, Jeanne Pine View Cemetery & Crematorium Quaker Road Queensbury, NY 12804 (518) 745-4477 or (518) 745-4476 FUNERAL HOME: hi L4 RETURN TIME: DATE & TIME REMAINS ARRIVED AT CREMATORY: 6111 l( //: `U NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAINS: NAME: nAPPE QCU11L� CASE # % S3 TYPE OF CONTAINER: Fi c1)0-4J tfiVC1 bD fro"—- ( n Ue41 Coy /I - PLACE OF DEATH: AC11044ctt /10itd �,,{ - - c"^cc ki /@ 11 17 ESTIMATED WEIGHT OF REMAINS & CONTAINER 3 IC�S /31.0 1 ' PLACED IN HOLD: ,,gyp PLACED IN REFRIGERATION: 17 'O ti DATE OF CREMATION: 0314 TIME STARTED: TIME COMPLETED: D:SO PLACED IN RETORT: 6 MOVED: 1%00 h.'`lam -t RETORT# IN WHICH REMAINS WERE CREMATED: f p_?Al /07 DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN 48 HOURS /0,91 FROM TIME OF ACCEPTED DELIVERY: NOTE:THE CREMATION LOG SHALL BE RETAINED IN THE PERMANENT FILE OF THE CREMATORY. 4 e- C443444.33,0*i MVO 310 134*.$33# ' NEW YORK Division <:',,,of OP CeMeter leS g',:'4 g 4 4t Authorization for Cremation and Disposition To ti $4,4fM554045$%5545 r enee 55-55„,dr bot a arlvttraaral arld alirrarJ Crt-34''tu fk-444'4'.'t 1)11 f 0 rf14'1 tfItt/1/4"' C'*'1144-1k:11.1 p i wiis View 414,t G 4$,54 r-`,: 7,71;004 „, _ -„„- ___. 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