Wilson, Donna OW Town of Queensbury L.F
s Certification of Cremation
1 Pine View Cemetery and Crematory
This certifies that the remains of: Donna Wilson
were cremated on August , 10 20 23 at the Pine View
(Month) (Day)
Crematorium, Queensbury,New York, and these are the cremated remains of said body.
Date of Death August , 3 20 23 Age 59
(Month) (Day)
Funeral Home Singleton Sullivan Potter Registered No. 639
Z-C1
(Authorized Signature)
WILSON
Owner L
Heath Wi 1 snn deal,
Address Plot
21 Garrow P1. Glens Falls, NY 17801 Uncas
Phone # Lot #
518-338-4428 Patti Barrett sister-in-law / 7 ' ' -6 S 074
Deed # Date
4399 8.11 .23
Cost Foundation Y - N
$800.00
Location ]�
North-path Q�T ,c c cCA4-
South-McCormick
East-Bombard 5 k5.7v38 'tkl''\D
West-King �j�r��[Q -11J
Remarks
I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE
PINE VIEW CEMETERY:
SIGNATURE: DATE:
•
SIGNATURE: DATE:
Record of Interments
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Wilson
4)
NAME Donna Wilson Age: 59
Lot Owner: Heath Wilson
Lot# Uncas 1727 B Sec. 29 Grave# 2
Case: urn
Died: 8.3.2 3 Interred: $.1 1 .2 3
Funeral Home: Regan Denny Stafford
Cemetery: Pine View