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Shaw, Donald H • TOTIN OF Q5JETf(yij l(J J rl 2K91 PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director Name ! Id I. SI4w Case # Date of Cremation U Time Cremation Started ( 2 ' Time Cremation Completed J '(IO ti Type of Container a 4 L 71 620 i20 us t S� Remarks : h1vt-,6 9- 7 °' rr �; iv 01