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Glass, John S _ -,01 urNK 2,12.cnry CREMATION CERTIFICATE ISSUED BY Linwood Cemetery 41 John Ward Ave Haverhill, MA 01830 I hereby certify that the burial permit and medical examiner's certificate prerequisite to cremating the body of John S. Glass late of Boxford, MA has been duly presented, the same showing that death occurred at Beverly, MA on 09-Mar-2022 and Blunt Force Injuries as the cause thereof. Age: 85 Years Cremation Date: 03/15/2022 Cremation#: 070062 Date: 03/15/2022 Superintendent In Charge GLASS NAME John S. Glass Age: Lot Owner: John W & Josephine S. Glass Lot# New Hudson #1 1 4D Grave# 4 Case: Urn Died: 3 .9.2 2 Interred: 7.9.2 2 Funeral Home:Li nwood Cemetery/Crematory Cemetery: Pine View _ — GLASS kddress 11.--...1.-.).. Lot No. Pl : 14 D 1 R7 Coolidge Ave . , G-lens Fall s, Section No. ot 1I .Y. Dwner John W. Glass & Josephine ..i. Glass e,,,v Hudioh -Toup.rio4-1(74-1 ZG • Date Mreh 17, 197° Superficial ft. @ ia,5n 100 per sq . ft . Location Puiei n the Ynrt'n by Arpnerit , Re.qt by 1 nt, nf Elb P1 (inn , Smith by lot of Rossmen, Aest by Vacant . Corner Posts Remarks Deed No. (and changes) 1140 Payment Record Ppi ri in nill Mpreh 17, lc-)70 1 )^/ J.:)/./ i i — `) Z- -_-'0( /' --6" \ -- , Z);<-__. _, , , ::. , ,r. ) ,, i, , _. ,,, , ...., ,,.,_ _ --i '-- --7 ) -- ' ix' — , _ Form No. 01 Record of Interments 5 -.Sv.5 eNPW/A/cr sS v 3 6 Sarah Glass 5/26/2017 17 n ass -S- I s Is •