Authorization - Terrance Carlin

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 - Terrance Carlin
lock iconUnique Document ID: 0d56a06f6d40b75757a1676cff471be1c5034f76
Timestamp Audit
August 28, 2022 5:49 pm CSTAuthorization - Terrance Carlin Uploaded by Jim Dolan Funeral Home - [email protected] IP