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Stockman, Gerald Sr. Town of Queensbury /1111" Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Gerald Stockman Sr. were cremated on June , 29 20 21 at the Pine View (Month) (Day) Crematorium, Queensbury,New York, and these are the cremated remains of said body. Date of Death June , 26 20 21 Age 79 (Month) (Day) Funeral Home Carleton Funeral Home Registered No. 526 (Authorized Signature) STOCKMAN NAME Gerald Stockman Sr. Age: 79 Lot Owner: Gearld & Janet Stockman Lot# Mohican 35 C Grave# 4 Case: Urn Died: 6.2 6.2021 Interred: 1 0.9.21 Funeral Home: Carleton FH Cemetery: Pine View STOCKMAN OLF Lc' fY7T R qb�s ,go 115 Lot No. 35 Address 42 Georq . For n, NY 12827 Section No. C Owner Gerald & Janet Stockman, Sr. Plot Mohican Date 6/27/91 Approx. 200 Superficial ft. @ Location Bounded on North by Vacant, South by Path, East by Path, West by Sawn, Stewart & Martindale. Corner Posts Remarks Deed No. (and changes) 2364 Payment Record Paid in Full 6/27/91 Record of Interments 1 2 �J OD P 3 la- ,:l-1.ev...S c yrIcAri Ij 4a4•a) A 1>cli> X X 4 Q-GIVAN� ncKrrcr_S12_ LO• 41-42l/ G•ate.a 5 6 7 8I - _ S111 � Form No. 01 STOCKMAN NAME Gerald Stockman Sr. Age: 79 LF Lot Owner: Gearld & Janet Stockman Lot# Mohican 35 C Grave# 4 Case: Urn Died: 6.2 6.2 0 21 Interred: 1 0.9.21 Funeral Home: Carleton FH Cemetery: Pine View