Hoeg, Harold S TOWN OF Q3'UfPJ
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
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Funeral DirectorW r�..l�, �- � `� i�
Name H 13ROL S tic) -e-9" Case # -,
Date of Cremation 3 - / I W
Time Cremation Started 11 0 j.A4
Time Cremation Completed a S/ 94/1
Type of Container c' A?� 5 A Y�J e., 6 N+ S7 e06(2 dfi`. 1
Remarks :
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