To whom it may concern:
I,
herby Authorize and direct you to release the human remains of,
to:
S.L. Booker Family Funeral Services, LLC.
1105 West Morris Avenue
Hammond, Louisiana 70403
Phone: (985) 520-5331
Fax : (985) 520-5332
*By signing this form, I authorize and acknowledge that I am the legal next of kin of the above referenced deceased. I also attest that I have decision making authority.
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