Kaetzel, Brian TOWN OF QUEENSBURY
Pine View Cemetery and Cremntorium
21 Quaker Rond, Qiieenshitry, NY. 12804-5902
(518) 745-4476 (518) 745-4477
http:uwww.queensbury.net
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Funeral Director: C a ri e f .
Name of Deceased: .6ct41,. Kq 4 I-7
Case Number: c
Date of Cremation: 1" —0 5-
Retort: CPS, —(Cd
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Time Cremation Started: ►. ) A-II
Time Cremation Completed: i : a d 91\1
Type of Container: Arc! v , r W/ ;moo -44 *--c
Remarks:
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