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" T�"-."aka_ _-_- - ., <.S?�,��a. {. t,,,r$W N , '. -Ty 4_". ,h _ . 0..spa" Pine View Cemetery & Crematorium Quaker Road Queensbury, NY 12804 (518) 745-4477 or (518) 745-4476 FUNERAL HOME: h5 Kr.twirsz RETURN TIME; DATE & TIME REMAINS ARRIVED AT CREMATORY: • NAME OF FUNERAL DIRECTOR OR REGRISTERED RESIDENT DELIVERING REMAINS: NAME: _---(SKI _1 UC _ --- CASE # IOC TYPE OF CONTAINER: f_k__,•4_Ap.s. /4•11t(k i7:/9 qq. —(off u_5_4-el 14.,eikp.oft/ PLACE OF DEATH: 23C /7.40 S 61/5 ' it ESTIMATED WEIGHT OF REMAINS 8 CONTAINER___ _- ___._.._....-- 2S6 11 67 _._jitoo 1_167 PLACED IN HOLD: PLACED IN REFRIGERATION:• J; i‘ DATE OF CREMATION: TIME STARTED: zd $.-- ---TIME COMPLETED: 4 4: PLACED IN RETORT: _. 5D / - - ... _.. .__ MOVED: _. �:/0 j q 1 //..(Jp 111 RETORT# IN WHICH REMAINS WERE CREMATED: __.__ / DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THAN 48 HOURS FROM TIME OF ACCEPTED DELIVERY: -. ..... _____ NOTE: THE CREMATION LOG SHALL RE RETAINED IN THE PERMANENT FILE OF THE CREMATORY. k $bC. a� # p. x cam. ah•„ ',""s n.. `i-... ,,.... : ,-x-`" .# s a M1�e, -,. y ,^; `a " s 'r S .' §':r�,,- sit es 3. m ;, � " * ' +. + a % .• .'` "k,... k. - N- -i e c ^� '�a. � n cf � � Pemk �� - a- 7 - � t ,.-� o � t � : ti s , k-� s 00 *ro�n :".el . .rf .: 4 $td-: 4 g n..� sS5 s - a . sr .:'rz • o- - i. 5 1;,, ski t v ':`s 3. .as ya, ., rr it # "w> „ a^ e., i� .�-' ��. .� � .. -.1. ,;,� �` �" sa�4 x„ �. :f�&"fi' x sx �'p.t -�c 7' � � .. &k �7 r e 'i X #.. st } �,� ,P :�Pi -, e Y s , y.„-,, ;�r �� �, -ice is Ca e x s ..j 51Y •�,'r ` �'+l x 1�* '�' s s rl ?* qs: 9- +.SPa v '11 � y ' ' ', f,;.a .* �'K"ii -��,,''i,'� ,roc '3r.e g. a ''� _ '. - z'_ "* a * m d.^ S' ''E fir.'. 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