Moiser, Theresa A 70WN OF QUEEVBURY
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director 0Y /
Name �/� t�L 5�L J� . jY1 DS ; tie Case # ��
Date of Cremation
Time Cremation Started T" ' H U fv`
Time Cremation Completed � 0
Type of Container GR.N-\4
Remarks :
B a W 13 0 R N A 0 Ill
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