Sellingham, Susan M Green Mountain
Cremation Service
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Green Mounoun Cremation Set vice liereby nertltiec tn it the
HunanRoma i ot the ate
Susan M. Sellingham
were cremated n accordance with the regulations MO all legal
requirementsof Green Mountain CremationService on
May 3 )C23
Cremation Identification Number
15179
Emery
ICF/ Lot No. 41-F
dress 1 Baker Road Oueensbury NY 12804 Section No.
wner James E. & Gertrude M. Emery Plot Mohican
ate 4/13/95
Approx. 100 Superficial ft. @
)cation Bounded North by Zwick, South by Vacant , East by Leonbruno , West by Ensor S
Lettus
orner Posts
emarks
eed No. (and changes) 2661
ayment Record Paid in Full 4/13/95 ( $10 5 0 . 0 0 )
eeord of Interments
Gertruc3P M F.mary 9/14/16 FB
James E. Emery, Jr. 1/24/05
V
I
T5.
k4
z
L cc ,k.a t 1—v N0
orm No. 01
Sellingham
NAME Susan M. Sellingham Age:
Lot Owner:James & Gertrude Emery
Lot# Mohican 41 F Grave# 3
Case: Urn
Died: Interred: 5.4.2 3
Funeral Home: Kings FH
Cemetery: Pine View