identification statement


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F l y n n F u n e r a l & C r e m a t i o n M e m o r i a l C e n t e r s, I n c. Serving New York and New Jersey 3 Hudson Street • Chester, NY 10918 • Tel. (845) 469-2525 139 Stage Road • Monroe, NY 10950 • Tel. (845) 783-1811 Fax (845) 782-5706 • www.flynnfh.com

IDENTIFICATION STATEMENT The undersigned, having viewed the remains, does hereby identify the same as the body of . Ample time has been given the undersigned to ensure proper identification prior to execution of this document, and by signing same, the undersigned acknowledges that there is no doubt or question about this identification. The undersigned assumes all liability for mistaken identification or incorrect identification and does hereby agree to indemnify and hold the above-named funeral home, its officers, agents, and employees harmless from any and all claims, suits, or cause of action, including reasonable attorney’s fee for the defense thereof brought by a person, firm, corporation or the personal representative thereof, arising out of the identification and request for cremation or arising out of any decision indicated by this agreement which may result in mental or physical distress or anguish or harm or financial loss to themselves or others. Signature

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