Authorization - Justin Hancock


Name of decedent:  [esiggravity formid="27" field_id="2" display="value" ] 

Name of person identifying decedent:   [esiggravity formid="27" field_id="3" display="value" ] 

Relation to decedent:    [esiggravity formid="27" field_id="4" display="value" ] 

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:

Signature arrow


Signature Certificate
Document name: Authorization - Justin Hancock
lock iconUnique Document ID: 138d9abe4a9913e35ef6b15fc15be870307e361f
Timestamp Audit
March 13, 2024 10:37 am CDTAuthorization - Justin Hancock Uploaded by YellowRose Funeral Home - obitsmd@npwelch.com IP 173.226.27.229