Wood,John c�Il�ts certifies that
John Wood
November 2, 19 WAS CREMATED
WHO DIED ON ,
AT THE ROSEHILL CREMATORY, U. S. HWY. 1, LINDEN, N. J.,
tea.
ON November 14, /
4 r
9
00216635 ✓�`�-
Reg. No.
MANAGER
RR-1004 R-9-06
WOOD
NAME John Wood Age:
Lot Owner: Ralph & Deborah & John Wood
Lot# Horicon 2 H Grave# 2
Case: Urn
Died: 1 1 .8.2 01 9 Interred: 9.2 3.2 2
Funeral Home: Rose Hill Crematory NJ
Cemetery: Pine View
WOOD
Owner
Ralph & Deborah & John Wood
Address Plot
228 Corinth Rd. Queensbury, NY 12804
Horicon
Phone # Lot #
51 8-761 -1 073 2H
Deed # Date
4282 9.9.2021
Cost Foundation Y - N
$650.00
Location West-Walsh
East-Road
North-Howk
South-Monaghan
Remarks
I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE
PINE VIEW CEMETERY: ,A1 nn
SIGNATURE: Me0101 w � DATE: q t�
SIGNATURE: DATE:
Record of Interments
1 6
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ONNt.,1,030 g aJ as
3 8
4 9
5 10
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