Gusek, Theodore H *it Mount Anthony Cremation Services le"4'
628 Main Street Bennington,VT o52oi 802-442-2516
Certificate of Cremation
Number: 22111
I hereby certify that:
Theodore Heinrich Gusek
Was cremated at Mount Anthony Cremation Services under the observance of all legal
requirements on 2/18/2022.
The date of death was: 2/9/2022
Place of death: Albany,New York
Funeral Home: William J.Burke&Sons Funeral Home P (���✓�
Signed: - wa. e- r
Administrator
AL
GUSEK
NAME Theodore H Gusek Age:
Lot Owner: Timothy & Kathleen Gusek
Lot# Horicon 1 3 C Grave# 3
Case: Urn
Died: 2.9.2 2 Interred: 6. 1 3 .2 2
Funeral Home: Mount Anthony Cremation Services
Bennington VT
Cemetery: Pine View
GUSEK
Owner
Timothy & Kathleen Gusek
Address Plot
732 County Route 16 Fort Ann, NY 12827 Horicon
Phone # Lot #
518-260-3451 /518-639-8916 13-C
Deed # Date
4091 10/16/2018
Cost Foundation Y - N
Location
Bounded to the West by Path, North by Vacant
East by Congel, South by Tobias
Remarks
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Record of Interments
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