Whiting, Frank Jr •
Town of Queensbury
Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Frank Whiting Jr.
were cremated on February , 7 20 07 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death February , 4 20 °L Age 77
(Month) (Day)
Funeral Home Sullivan Minahan Potter Registered No. 54
(Authorized Signature)
WHITING )4!)
NAME Frank Whiting Jr. Age: 77
Lot Owner: Ruth Rawlins
Lot# Algonquin Sec. D Lot 2Row Grave# 1
Case: Urn
Died:2.4 .2007 Interred:5.5.2 2
Funeral Home: Family Ruth Rawlins
Cemetery: Pine View
RAWLINS
Owner
Ruth Rawlins
Address Plot
1906 Sanford Ridge Rd. Oueenshnry NV 12804 Algonquin
Phone # Lot #
518-222.0946 Sec. D row 1 Lot 2
Deed # Date
4313 3 .31 .22
Cost Foundation Y - N
$400.00
Location North. . .Vacant
East. . . .Road
West _ _ _ _Vacant
South. . .Path
Remarks
I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE
PINE VIEW CEMETERY:
SIGNATURE: Ut.L,,1 ) � `-�`�`-' DATE: 3 "51 `Q
SIGNATURE: DATE:
Record of Interments
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