Ayala, Robert �O`l�V�71� OF QUEEVBURY
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director mW701, Tj
Name a /` Case #
Date of Cremation ' - p27
Time Cremation Started 6 i`�(d /9/M I
r
Time Cremation Completed
Type of Container ��(� � ��/ r G s�af /Y
Remarks : �'����
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