Harvey, Michael CLF
Town of Queensbury
Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Michael Harvey
were cremated on September 30 20 21 at the Pine View
(Month) (Day)
Crematorium, Queensbury,New York, and these are the cremated remains of said body.
Date of Death September , 27 20 21 Age 64
(Month) (Day)
Funeral Home Baker Funeral Home Registered No. 824
(Authorized Signature)
Harvey
NAME Michael Harvey g A e: 64
Lot Owner: Shirley E. Harvey
Lot# Algonquin 12 C Grave# 3
Case: Urn
Died:9/2 7/2 0 21 Interred: 1 0/5/2 0 21
Funeral Home: Baker FH
Cemetery: Pine View