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Beckwith, Ryan LIC.°) 11111116 Town of Queensbury dvAl Certification of Cremation Pine View Cemetery and Crematory This certifies that the remains of: Ryan A Beckwith were cremated on November , 9 20 23 at the Pine View (Month) (Day) Crematorium, Queensbury,New York, and these are the cremated remains of said body. Date of Death November , s 20 23 Age 52 (Month) (Day) Funeral Home Regan Denny Stafford Registered No. 900 (Authorized Signature) WELLS Owner Wayne M. Wells Address Plot 37 5th Street, Glens Falls, NY 12801 Horicon Phone # Lot # 518-307-2904 38G Deed # Date 4387 5.26.23 Cost Foundation Y - N $800.00 Location West-Hart North-Clark South-Vacant East-Hatch Remarks I ACKNOWLEDGE THE RECEIPT OF THE RULES AND REGULATIONS OF THE PINE VIEW CEMETERY: 0-3 Le SIGNATURES `V 6:66 DATE: 5/'" SIGNATURE: DATE: Record of Interments 1 6 2 moo= ao T)0,4,c, r, ri ar-e), l\ . 1 , 3 1 i► . 5 . a3 8 4 9 5 10 lAcir r t \ Lt ;il is �- �° 6 Beckwith NAME Ryan A Beckwith Age: 52 Lot Owner: Wayne M. Wells Lot#Horicon 38G Grave# 3 Case:Urn Died: 1 1 .5.23 Interred:1 1 . 1 3.2 3 Funeral Home: Regan Denny Stafford Cemetery: Pine View