Clark, Thomas CLARK LF
NAME Thomas Clark Age: 73
Lot Owner: Tom J & Thomas A Clark
Lot# Mohican 34 F Grave# 2
Case: Urn
Died: 8. 1 5.2 2 Interred:9.2.2 2
Funeral Home: Regan Denny Stafford
Cemetery: Pine View
LF
Town of Queensbury
,,� Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Thomas Clark
were cremated on August , 17 20 22 at the Pine View
(Month) (Day)
Crematorium, Queensbury, New York, and these are the cremated remains of said body.
Date of Death August 15 20 22 Age 73
(Month) (Day)
Funeral Home Regan Denny St fford Registered No. 661
(Authorized Signature)