Deceased' Name:  

To Whom It May Concern:

Please release the remains of the above named decedent into the custody of Kiser Undertakings L.L.C,  DBA Lone Star Cremation or their assigned agent.

Regards,

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Change fonts

• Draw Signature
  
• Type In Signature
  

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

Insert Signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signature Certificate

Document name: Decedent Release

Unique Document ID: 2c31a758227cdfdb01531ee185b5cf8d19ba424e

Build. Track. Sign Contracts.

Timestamp	Audit
December 9, 2020 1:16 pm CDT	Decedent Release Uploaded by Roy Kiser - [email protected] IP 47.32.198.14

This audit trail report provides a detailed record of the online activity and events recorded for this document.

https://www.lonestarcremation.com/

Audit Trail Serial# c50e23b35d7e61b44ba6024d09bf9643