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Bayer, Albert E L.C.F) ` RM, Town of Queensbury Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Albert E Bayer were cremated on DECEMBER 10 20 07 at the Pine View (Month) (Day) Crematorium, Queensbury,New York, and these are the cremated remains of said body. Date of Death DECEMBER 9 20 07 Age 77 (Month) (Day) Funeral Home ALEXANDER Registered No. 523 an) n%"4,r- (Authorized Signature) BAYER Owner 41111 Susan J Bayer Address Plot 224 Queensbury Ave.Oueenshnry, my 12804 Algonquin Phone # Lot # 518-798-1187 Sec R0.0 a # !3 Deed # Date 4400 8. 11 .23 Cost Foundation Y - N $400.00 Location North-Vacant South-Lobdell West-Vacant East-Road Remarks I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE PINE VIEW CEMETERY: SIGNATURE: ' IC_1;%2c7` DATE: SIGNATURE: DATE: Record of Interments 1 A\ ne:: 1I° 6 2 7 3 . 8 4 9 5 10 X.,1 ‘2_11 LA2:, ).E rt Bayer NAME Albert E. Bayer LF Age: 77 Lot Owner: Susan J Bayer • Lot# Algonquin R 2 #1 3 Sec.E Grave# 1 Case: urn Died: 1 2.3.200 7 Interred: 8. 1 7.2 3 Funeral Home: Baker Fh Cemetery: Pine View