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Rathburn, Michael TOWN OF QQI3QIRJ PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSBURY, NEW YORK 12804 (518) 745-4476 (518) 745-4477 i�f Funeral Director /' N( Name Al / f/9dr4 /?8T/ BOJ Case # T Date of Cremation /—ci. -q6 Time Cremation Started /Si clO /9/h/1 --7 l Time Cremation Completed / G -�Z �M Type of Container �,j �4 ,21 Remarks : "9 14 i31)XAIj Off( /e f/id , '/n1 416//, I> �� 9 gm f /1 7i f ,3 r,9//4 / 11 1/ ! /9/A1 ' II I rDZ. Zc2P-41f 1 I II �Z ;3/ PI/Mt