Williams, Douglas TOWN OF QUR1Y
PINE VIEW CEMETERY AND CREMATORIUM
QUAKER ROAD, QUEENSBURY, NEW YORK 12804
(518) 745-4476 (518) 745-4477
Funeral Director n/9/,.(„/'/'C�/
Name / 7,73/)6 4/ / ,fi ; Case # "V/10
Date of Cremation ,44-7 `/'T ` 7J
Time Cremation Started/hi ,f/ tin
Time Cremation Completed / A'J (
Type of Container � 1� /+���cf�fl e//.%/��T v./:Pc
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