Russell, Jeffrey "Town of Queensbury
„� Certification of Cremation
si Pine View Cemetery and Crematory
This certifies that the remains of: Jeffrey Russell
were cremated on August , 18 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 16 20 22 Age 75
(Month) (Day)
Funeral Home Singleton Sullivan Potter Registered No. 664
r__/J
(Authorized Signature)
RUSSELL LF)
NAME Jeffrey Russell ` - Age: 75
Lot OwnerJef f rey & Kathryn Russell
Lot# Seneca 15G Grave# 1
Case: Urn
Died: 8. 1 6.2 2 Interred: 1 0.8.2 2
Funeral Home: Singleton Sullivan Potter
Cemetery: Pine View
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