Visual Identification Acknowledgement

The undersigned, having viewed the remains, does hereby identify the same as the body of:

Ample time has been given to the undersigned to assure proper identification, prior to the execution of this document. By signing same, the undersigned acknowledges that there is no doubt or questions about this identification.

The undersigned assumes all liability for incorrect identification and does hereby agree to indemnify, defend and hold F.B. Pratt & Son Funeral Home, Inc., and its officers, agents and employees, harmless from any and all claims, damages, liabilities and costs (including reasonable attorney's fee) which may arise if this identification is inaccurate.

WITNESS OF THE IDENTIFICATION PROCEDURE

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