Collins, William TOWN OF Q3QJ9E
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director 13I' )- Mf 1N
Name(,QA 4 e0 -1 Case# 13 I
Date Of Cremation 3 16 - 700'3
Time Cremation Started Y1 :IZ3 ( t /1/t
Time Cremation Completed 1 /1/`.
Type of Container(] ")--)—() t' 4ALc) WI I �-3 04/
Remarks
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