Authorization - Jimmy Willeby, Jr.

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 - Jimmy Willeby, Jr.
lock iconUnique Document ID: d46385720148e68aae23ea8223a08fd6ed132b88
June 25, 2023 2:30 pm CDTAuthorization - Jimmy Willeby, Jr. Uploaded by YellowRose Funeral Home - [email protected] IP