Heslen, Agnes M Town of Queensbury
Certification of Cremation
Pine View Cemetery and Crematory
This certifies that the remains of: Agnes M Heslen
were cremated on September 11 1 990 at the Pine View Crematorium,
(Month) (Day),
Queensbury, New York, and these are the cremated remains of said body.
Date of Death September , 9th , 1990 Age 86
(Month) (Day)
Funeral Home Flynn Brothers FH Registered No. 1 98
(Authorized Signature)
HOOD/MOAT
Owner
Barbara Hood/ Yvonne Moat
Address Plot
220 Robert Garden Apt 6. Queensbury, NY 12804 Horicon
Phone # Lot #
518-798-63-98 16G
Deed # Date
4372 2.27.23
Cost Foundation Y - N
$700.00
Location
WEST-OGDEN
EAST_BROWNELL
SOUTH-MCDONALD
NORTH-VACANT
Remarks
I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE
PINE VIEW CEMETE
SIGNATURE: DATE: (>271voZ-1
SIGNATURE: DATE:
Record of Interments
1 - -a • �� vaaD 6
/-Psleo
2 Act,),._> 1,47 6 q 7
3 8
4 9
5 10
(:)Ci der)
rnA
n, c) g,
4
Q
n
� } r
E
Heslen
NAME Age:k5
Agnes M Heslen 86
Lot Owner: Barbara Hood/ Yvonne Moat
Lot# Horicon 16G Grave# 2
Case: Urn
Died: 9.9. 1 9 9 0 Interred: 6.9.23
Funeral Home: Flynn Brothers FH
Cemetery: Pine View