Professional Documents
Culture Documents
,1-
&
1
f"l
a
l:.,t
C)
-
J
Il
El
c)
z
,
c/)
tt{
,J{
t-l
tu
o
(n
o
fi
i{
H
M
O
H
Received from the Proprietors of The Springfieid Cernetery the crernated
remains of the body of the late:
L
nhl
,,
lot
fu,
I,
cremated at the Crematory of the Proprietors of The Springfield Cemeterl',
171 Maple St., Springfield, Mass. 01105 Tel.413-732-0712.
lu,tun
g
PLEASE SIGN ACCORDINGLY
of person picking up crematd remains at Springfielcl Cemetery
Name
Final Disposition if known
If shipped via U.S. Maii - please sign and retllrn form immediately - even if
disposition unknown - in the SASE enclosed.
Date
EXFIIBIT A
Funeral Home