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Jones, Christopher 14) Town of Queensbury Certification of Cremation id ram Pine View Cemetery and Crematory This certifies that the remains of: Christopher Jones were cremated on August , 11 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 , 7 20 22 Age 43 (Month) (Day) Funeral Home M.B. Kilmer Funeral Home Registered No. 642 (Authorized Signature) JONES LF NAME Christopher Jones Age: 43 Lot Owner: John & Andrea Jones Lot# Cayuga #1 49-51 Grave# 51 Case: Urn Died: 8.7.2 2 Interred: 1 0.31 .2 2 Funeral Home: M.B. Kilmer Cemetery: Pine View JONES Owner John & Andrea Jones Address Plot 248 Emigh Rd. Rock City Falls, NY 12863 Cayuga #1 Phone # Lot # 518-365-4883 G-49, 50, 51 Deed # Date 4352 10,24.22 Cost Foundation Y - N &2400.00 Location South-Path North- Road West-Vacant East-grass area(Vacant) Remarks I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE PINE VIEW CEMETERY: SIGNATURE: „ ,µ DATE: /0A4127_ SIGNATURE: DATE: Record of Interments o.,p f3.--1. as 51 0.\-)AiAThy\ l'One, 10- i. 'D-r. 50 114 411 n► ' �J A Q Wt' T < > Al 6 Nr Q 'Aq 5© 5w L