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Authorization - Robert Farquharson

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
above.

Signature of person identifying decedent:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

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December 20, 2024 1:18 pm CST

Authorization - Robert Farquharson Uploaded by Anderson Simple Cremations - info@andersonsimplecremations.net IP 12.55.175.202