Authorization - Altagracia Matthews

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

Date of identification:

Signature of person identifying decedent:

Leave this empty:

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Signature Certificate
Document name: Authorization - Altagracia Matthews
lock iconUnique Document ID: 2d155631d280023ed87ae682a5c7b146d86eb844
Timestamp Audit
January 8, 2021 11:31 am CDTAuthorization - Altagracia Matthews Uploaded by YellowRose Funeral Home - [email protected] IP