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Ward, Eugene Town of Queensbury Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Eugene Ward were cremated on March , 31 20 21 at the Pine View (Month) (Day) Crematorium, Queensbury,New York, and these are the cremated remains of said body. Date of Death March , 27 20 21 Age 52 (Month) (Day) Funeral Home Regan Denny Stafford Registered No. 314 .T' (Authorized Signature) WARD NAME Eugene Ward Age: 52 Lot Owner: Lopez Lot# Mt Hermom Grave# Case: Urn Died: 3 .2 7.21 Interred: 5. 6.2 2 Funeral Home: Kay Lopez Cemetery: Mt Hermon WARD Owner Eugene Ward was buried on Lopez Plot Address Plot LOpez MT Hermon Phone # Lot # Deed # Date Cost Foundation Y - N Location MT HERMON Remarks Record of Interments 1 6 Eugene Ward. .5.6.22 DOD 3. 27.21 2 7 3 8 4 9 5 10 \,/, t--\ Z-