Authorization - John Doe

Name of decedent:    

Name of person identifying decedent:     

Relation to decedent:      

I agree to identify the decedent through online identification. I acknowledge that I am the
next of kin, have viewed the photo online, and identified the photo as the decedent listed

Signature of person identifying decedent:

Leave this empty:

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Signature Certificate
Document name: Authorization - John Doe
lock iconUnique Document ID: 4e314b235619d8dd81579036d55e4242f633b93d
Timestamp Audit
December 7, 2023 8:05 am CDTAuthorization - John Doe Uploaded by Anderson Simple Cremations - IP