Authorization for Embalming

Authorization for Embalming

I hereby designate F.B. Pratt & Son Funeral Home, Inc. totake charge of funeral arrangements for:

and I authorize the release and removal of the remains to said funeral establishment for the purpose of embalming.

I represent that I am the next-of-kin or am acting as anauthorized agent for the next-of-kin.

For Verbal (Telephone) Authorization

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