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A Better Place Funeral & Cremation
7261 Washington St.
Denver, CO 80211
303-657-5989
Release Of Remains
To Coroner's Office:
*
Name Of Medical Center/(Hospital):
*
City:
*
State:
*
Funeral Home Holding Remains:
*
City:
*
State:
*
Release:
I am the Legal Next Of Kin and Hereby authorize,
Name Of Legal Next Of Kin:
*
To release the body of said deceased,
Name Of Deceased:
*
To A Better Place Funeral & Cremation On:
*
+
I also authorize the release of all personal effects of said deceased, to the funeral home listed above:
*
Choice A
INITIALS:
*
Signatures:
Signature:
*
clear
Printed Name:
*
Relationship:
*
______________________________________________________________________________
Signature Of Funeral Director/Witness:
*
clear
Print Name:
*
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