Forms

VITAL STATISTICS WORKSHEET

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AUTHORIZATION FOR RELEASE

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AUTHORIZATION TO ACCEPT OR DECLINE EMBALMING

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Price Funeral Chapel, Inc.
| 6335 Sunrise Blvd
| Citrus Heights, CA 95610
| Tel: 1-916-725-2109
| Fax: 1-916-725-2111

Email: Information@PriceFuneralChapel.com