Authorization for Anthony Johnson | Yellow Rose Cremation

Authorization - Anthony Johnson

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.

Date of identification:

Signature of person identifying decedent:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

April 15, 2025 1:01 pm CDT

Authorization - Anthony Johnson Uploaded by YellowRose Funeral Home - obitsmd@npwelch.com IP 173.226.27.229